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This is VAERS ID 278398

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278398
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-04-27
Onset:2007-05-01
Submitted:2007-05-02
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1968AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / - LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01736 / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Migraine, Sinusitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received vaccines on 4-27-07 - varicella, Menactra, Tdap, Hep A, HPV. Dx with Sinusitis and migraine Type headache on 5-1-07. Returned to the office on 5-2-07 with probable migraine Dx.


Changed on 12/8/2009

VAERS ID: 278398 Before After
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-04-27
Onset:2007-05-01
Submitted:2007-05-02
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1968AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / - LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01736 / 1 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Migraine, Sinusitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received vaccines on 4-27-07 - varicella, Menactra, Tdap, Hep A, HPV. Dx with Sinusitis and migraine Type headache on 5-1-07. Returned to the office on 5-2-07 with probable migraine Dx.


Changed on 4/7/2010

VAERS ID: 278398 Before After
Age:11.0
Gender:Female
Location:Georgia
Vaccinated:2007-04-27
Onset:2007-05-01
Submitted:2007-05-02
Entered:2007-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1968AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2644AA / - LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 01736 / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Migraine, Sinusitis

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Received vaccines on 4-27-07 - varicella, Menactra, Tdap, Hep A, HPV. Dx with Sinusitis and migraine Type headache on 5-1-07. Returned to the office on 5-2-07 with probable migraine Dx.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278398&WAYBACKHISTORY=ON


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