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This is VAERS ID 278468

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278468
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-05-10
Onset:2007-05-11
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2276BA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Local swelling, Pharyngeal oedema, Tonsillitis

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: OTC IBUPROFEN as needed for headaches
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient awoke in the middle of the night with a swollen throat, but had no difficulty breathing. Her father, who is a physician, said that her tonsils and uvula looked swollen. Mom felt her neck looked swollen. She had not had any other exposures such"as to insects. The child went to school the next day and did not worsen. Mom went to the school and gave otc benadryl 50mg to the child, which caused the symptoms to resolve completely in 20 minutes . The child was never seen in our office for the reac


Changed on 12/8/2009

278468 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-05-10
Onset:2007-05-11
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2276BA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Local swelling, Pharyngeal oedema, Tonsillitis

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: OTC IBUPROFEN as needed for headaches
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient awoke in the middle of the night with a swollen throat, but had no difficulty breathing. Her father, who is a physician, said that her tonsils and uvula looked swollen. Mom felt her neck looked swollen. She had not had any other exposures such"as such as to insects. The child went to school the next day and did not worsen. Mom went to the school and gave otc benadryl 50mg to the child, which caused the symptoms to resolve completely in 20 minutes . The child was never seen in our office for the reac reaction. All information was supplied to us by the mother of the patient. The child has no residual problems.


Changed on 4/7/2010

278468 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-05-10
Onset:2007-05-11
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2276BA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Local swelling, Pharyngeal oedema, Tonsillitis

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: OTC IBUPROFEN as needed for headaches
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient awoke in the middle of the night with a swollen throat, but had no difficulty breathing. Her father, who is a physician, said that her tonsils and uvula looked swollen. Mom felt her neck looked swollen. She had not had any other exposures such as to insects. The child went to school the next day and did not worsen. Mom went to the school and gave otc benadryl 50mg to the child, which caused the symptoms to resolve completely in 20 minutes . The child was never seen in our office for the reaction. All information was supplied to us by the mother of the patient. The child has no residual problems.


Changed on 9/14/2017

278468 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-05-10
Onset:2007-05-11
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2276BA / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Local swelling, Pharyngeal oedema, Tonsillitis

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: OTC IBUPROFEN as needed for headaches
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient awoke in the middle of the night with a swollen throat, but had no difficulty breathing. Her father, who is a physician, said that her tonsils and uvula looked swollen. Mom felt her neck looked swollen. She had not had any other exposures such as to insects. The child went to school the next day and did not worsen. Mom went to the school and gave otc benadryl 50mg to the child, which caused the symptoms to resolve completely in 20 minutes . The child was never seen in our office for the reaction. All information was supplied to us by the mother of the patient. The child has no residual problems.


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