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This is VAERS ID 275694

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275694
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-04-05
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / - LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2221BA / - RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2659AA / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Pallor, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Mother explained when child woke up 4-3-07 a day after immunization she noticed her skin was pale, weak and has fever.


Changed on 12/8/2009

VAERS ID: 275694 Before After
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-04-05
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / - LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2221BA / - RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2659AA / - - / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Asthenia, Pallor, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Mother explained when child woke up 4-3-07 a day after immunization she noticed her skin was pale, weak and has fever.


Changed on 4/7/2010

VAERS ID: 275694 Before After
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-04-05
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / - LA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2221BA / - RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2659AA / - - / -

Administered by: Private      Purchased by: Public
Symptoms: Asthenia, Pallor, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Mother explained when child woke up 4-3-07 a day after immunization she noticed her skin was pale, weak and has fever.


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