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This is VAERS ID 278394

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278394
Age:18.0
Gender:Female
Location:Vermont
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-05-10
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain upper, Asthenia, Body temperature increased, Chills, Ear pain

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD acne facial Rx products Clindamycin gel + Diff gel
Current Illness: none
Preexisting Conditions: Allergies-Ceclor, minocycline, benzyl peroxide
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:5/8/07 Sleeping and woke up with chills and c/o neck pain and aches-$g Motrin 600 mg. 5/9/07 c/o nausea, stomachache, earaches T 102.4 deg at 3:00 pm Ears ok one red canal only per school nurse-ES Tylenol given and slept 3-4-07 pale and c/o weak and not f"eeling well. School nurse checked -$g adeq strength/BP 102/60 P72 no numbness/tingling All s/s resolved in pm.


Changed on 12/8/2009

VAERS ID: 278394 Before After
Age:18.0
Gender:Female
Location:Vermont
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-05-10
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Abdominal pain upper, Asthenia, Body temperature increased, Chills, Ear pain, Erythema, Malaise, Nausea, Neck pain, Pain, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD acne facial Rx products Clindamycin gel + Diff gel
Current Illness: none
Preexisting Conditions: Allergies-Ceclor, minocycline, benzyl peroxide
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:5/8/07 Sleeping and woke up with chills and c/o neck pain and aches-$g Motrin 600 mg. 5/9/07 c/o nausea, stomachache, earaches T 102.4 deg at 3:00 pm Ears ok one red canal only per school nurse-ES Tylenol given and slept 3-4-07 pale and c/o weak and not f"eeling feeling well. School nurse checked -$g adeq strength/BP 102/60 P72 no numbness/tingling All s/s resolved in pm.


Changed on 4/7/2010

VAERS ID: 278394 Before After
Age:18.0
Gender:Female
Location:Vermont
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-05-10
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Abdominal pain upper, Asthenia, Body temperature increased, Chills, Ear pain, Erythema, Malaise, Nausea, Neck pain, Pain, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD acne facial Rx products Clindamycin gel + Diff gel
Current Illness: none
Preexisting Conditions: Allergies-Ceclor, minocycline, benzyl peroxide
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:5/8/07 Sleeping and woke up with chills and c/o neck pain and aches-$g Motrin 600 mg. 5/9/07 c/o nausea, stomachache, earaches T 102.4 deg at 3:00 pm Ears ok one red canal only per school nurse-ES Tylenol given and slept 3-4-07 pale and c/o weak and not feeling well. School nurse checked -$g adeq strength/BP 102/60 P72 no numbness/tingling All s/s resolved in pm.


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