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This is VAERS ID 278149

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278149
VAERS Form:
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-05-07
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 2 LA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2230AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Injection site erythema, Pharyngeal oedema, Wheezing, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area


Changed on 12/8/2009

VAERS ID: 278149 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-05-07
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 2 LA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2230AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthma, Injection site erythema, Pharyngeal oedema, Wheezing, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area


Changed on 4/7/2010

VAERS ID: 278149 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-05-07
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 2 LA / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2230AA / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Asthma, Injection site erythema, Pharyngeal oedema, Wheezing, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area


Changed on 9/14/2017

VAERS ID: 278149 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-05-07
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 2 3 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2230AA / 0 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Asthma, Injection site erythema, Pharyngeal oedema, Wheezing, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area


Changed on 2/14/2018

VAERS ID: 278149 Before After
VAERS Form:1
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-05-07
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 3 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2230AA / 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Asthma, Injection site erythema, Pharyngeal oedema, Wheezing, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area


Changed on 6/14/2018

VAERS ID: 278149 Before After
VAERS Form:1
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-05-01
Onset:2007-05-02
Submitted:2007-05-07
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 3 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2230AA / 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Asthma, Injection site erythema, Pharyngeal oedema, Wheezing, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area

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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278149&WAYBACKHISTORY=ON


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