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This is VAERS ID 277339

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277339
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Allergies:
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

277339 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Allergies:
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

277339 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (unknown mfr)~1~0~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Allergies:
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

277339 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 9/14/2017

277339 Before After
VAERS Form:(blank) 1
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 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2106AA / 0 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: uncertain~DTaP (no brand name)~1~0.20~In Patient
Other Medications: Septra
Current Illness: None
Preexisting Conditions: Acne
Allergies:
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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