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This is VAERS ID 275622

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275622
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-04-04
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2209AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Hypotonia, Muscular weakness, Pain in extremity, Neurological examination

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline, Dafferin gel
Current Illness: U.T.I.
Preexisting Conditions: None
Diagnostic Lab Data: Dr examined referred to PT and neurology consult.
CDC 'Split Type':

Write-up:Pt c/o pain and weakness in Lt arm persistent since admin. of vaccine in Lt arm. Dr notes pt has decrease muscle strength in Lt arm unable to make a fist and decrease tone in Lt arm. 4/10/07 Received medical records from PCP which include vax records & r"eveal that on day of vax patient experienced UTI s/s, UA was done & patient started on antibiotics. Returned to PCP on 4/4/07 w/complaints of left arm weakness since vax. Exam revealed decreased left arm muscle strength. Patient was unable to make a fi


Changed on 12/8/2009

VAERS ID: 275622 Before After
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-04-04
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2209AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Hypotonia, Muscular weakness, Pain in extremity, Physiotherapy, Urinary tract infection, Neurological examination, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline, Dafferin gel
Current Illness: U.T.I.
Preexisting Conditions: None
Diagnostic Lab Data: Dr examined referred to PT and neurology consult.
CDC 'Split Type':

Write-up:Pt c/o pain and weakness in Lt arm persistent since admin. of vaccine in Lt arm. Dr notes pt has decrease muscle strength in Lt arm unable to make a fist and decrease tone in Lt arm. 4/10/07 Received medical records from PCP which include vax records & r"eveal reveal that on day of vax patient experienced UTI s/s, UA was done & patient started on antibiotics. Returned to PCP on 4/4/07 w/complaints of left arm weakness since vax. Exam revealed decreased left arm muscle strength. Patient was unable to make a fi fist w/left hand & had decreased muscle tone in left arm. Received neuro & PT referrals.


Changed on 4/7/2010

VAERS ID: 275622 Before After
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-04-04
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2209AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Hypotonia, Muscular weakness, Pain in extremity, Physiotherapy, Urinary tract infection, Neurological examination, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline, Dafferin gel
Current Illness: U.T.I.
Preexisting Conditions: None
Diagnostic Lab Data: Dr examined referred to PT and neurology consult.
CDC 'Split Type':

Write-up:Pt c/o pain and weakness in Lt arm persistent since admin. of vaccine in Lt arm. Dr notes pt has decrease muscle strength in Lt arm unable to make a fist and decrease tone in Lt arm. 4/10/07 Received medical records from PCP which include vax records & reveal that on day of vax patient experienced UTI s/s, UA was done & patient started on antibiotics. Returned to PCP on 4/4/07 w/complaints of left arm weakness since vax. Exam revealed decreased left arm muscle strength. Patient was unable to make a fist w/left hand & had decreased muscle tone in left arm. Received neuro & PT referrals.


Changed on 5/14/2017

VAERS ID: 275622 Before After
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-04-04
Entered:2007-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2209AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Hypotonia, Muscular weakness, Pain in extremity, Physiotherapy, Urinary tract infection, Neurological examination, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Minocycline, Dafferin gel
Current Illness: U.T.I.
Preexisting Conditions: None
Diagnostic Lab Data: Dr examined referred to PT and neurology consult.
CDC 'Split Type':

Write-up:Pt c/o pain and weakness in Lt arm persistent since admin. of vaccine in Lt arm. Dr notes pt has decrease muscle strength in Lt arm unable to make a fist and decrease tone in Lt arm. 4/10/07 Received medical records from PCP which include vax records & reveal that on day of vax patient experienced UTI s/s, UA was done & patient started on antibiotics. Returned to PCP on 4/4/07 w/complaints of left arm weakness since vax. Exam revealed decreased left arm muscle strength. Patient was unable to make a fist w/left hand & had decreased muscle tone in left arm. Received neuro & PT referrals.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275622&WAYBACKHISTORY=ON


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