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This is VAERS ID 277339

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277339
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-19
Onset:2007-04-20
Submitted:2007-04-24
Entered:2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2106AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Diagnostic Lab Data:
CDC 'Split Type': Acne

Write-up:Persistant dizziness for several days, prevented her from working for 1-2 days


Changed on 12/8/2009

VAERS ID: 277339 Before After
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-19
Onset:2007-04-20
Submitted:2007-04-24
Entered:2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR U2106AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Diagnostic Lab Data:
CDC 'Split Type': Acne (blank)

Write-up:Persistant dizziness for several days, prevented her from working for 1-2 days


Changed on 4/7/2010

VAERS ID: 277339 Before After
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-19
Onset:2007-04-20
Submitted:2007-04-24
Entered:2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U2106AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Persistant dizziness for several days, prevented her from working for 1-2 days


Changed on 5/14/2017

VAERS ID: 277339 Before After
Age:17.0
Gender:Female
Location:Ohio
Vaccinated:2007-04-19
Onset:2007-04-20
Submitted:2007-04-24
Entered:2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U2106AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Activities of daily living impaired

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In (no brand name)~1~0.20~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Persistant dizziness for several days, prevented her from working for 1-2 days


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277339&WAYBACKHISTORY=ON


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