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This is VAERS ID 278338

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278338
VAERS Form:
Age:16.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-05-04
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03870 / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2227AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Musculoskeletal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:severe headache and shoulder suprascapula pain started 4 hours after vaccine and lasted 2 days


Changed on 12/8/2009

278338 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-05-04
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03870 / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2227AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown Public
Symptoms: Headache, Musculoskeletal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:severe headache and shoulder suprascapula pain started 4 hours after vaccine and lasted 2 days


Changed on 4/7/2010

278338 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-05-04
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03870 / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2227AA / 0 RA / UN

Administered by: Private      Purchased by: Public
Symptoms: Headache, Musculoskeletal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:severe headache and shoulder suprascapula pain started 4 hours after vaccine and lasted 2 days


Changed on 9/14/2017

278338 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-05-04
Entered:2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03870 / 0 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2227AA / 0 1 RA / UN

Administered by: Private      Purchased by: Public
Symptoms: Headache, Musculoskeletal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:severe headache and shoulder suprascapula pain started 4 hours after vaccine and lasted 2 days


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