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This is VAERS ID 278481

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278481
VAERS Form:
Age:
Gender:Unknown
Location:Iowa
Vaccinated:2006-12-05
Onset:0000-00-00
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - - / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1809AA / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCODONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Initial report received on 01 May 2007 from a health care professional. A neonate patient had received on 05 December 2006, transplacental vaccination with Menactra (lot# U1809AA), 0.5 ml intra-muscular into the right deltoid, and Gardasil (lot# 0868F), 0".5 ml intra-muscular into the left deltoid. The patient''''s mom was unaware of pregnancy prior, therefore did not have prenatal care. The patient''''s mother experienced abdominal pain prior to going to the hospital and took hydrocodone prior to going to the


Changed on 12/8/2009

278481 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Iowa
Vaccinated:2006-12-05
Onset:0000-00-00
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - - / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1809AA / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCODONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 200701505

Write-up:Initial report received on 01 May 2007 from a health care professional. A neonate patient had received on 05 December 2006, transplacental vaccination with Menactra (lot# U1809AA), 0.5 ml intra-muscular into the right deltoid, and Gardasil (lot# 0868F), 0".5 0.5 ml intra-muscular into the left deltoid. The patient''''s patient''s mom was unaware of pregnancy prior, therefore did not have prenatal care. The patient''''s patient''s mother experienced abdominal pain prior to going to the hospital and took hydrocodone prior to going to the hospital, when she delivered a baby on 23 April 2007. Meconium stated upon delivery. Baby was having seizures and was transferred to neonatal care where baby remained. The reporter denied that the patient''s mother was on current medications. The patient''s mother medical history included recurrent tonsillitis. The mother case number is 2007-01504.


Changed on 4/7/2010

278481 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Iowa
Vaccinated:2006-12-05
Onset:0000-00-00
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - - / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1809AA / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCODONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 200701505

Write-up:Initial report received on 01 May 2007 from a health care professional. A neonate patient had received on 05 December 2006, transplacental vaccination with Menactra (lot# U1809AA), 0.5 ml intra-muscular into the right deltoid, and Gardasil (lot# 0868F), 0.5 ml intra-muscular into the left deltoid. The patient''s mom was unaware of pregnancy prior, therefore did not have prenatal care. The patient''s mother experienced abdominal pain prior to going to the hospital and took hydrocodone prior to going to the hospital, when she delivered a baby on 23 April 2007. Meconium stated upon delivery. Baby was having seizures and was transferred to neonatal care where baby remained. The reporter denied that the patient''s mother was on current medications. The patient''s mother medical history included recurrent tonsillitis. The mother case number is 2007-01504.


Changed on 9/14/2017

278481 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Iowa
Vaccinated:2006-12-05
Onset:0000-00-00
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / - UNK - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1809AA / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCODONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 200701505

Write-up:Initial report received on 01 May 2007 from a health care professional. A neonate patient had received on 05 December 2006, transplacental vaccination with Menactra (lot# U1809AA), 0.5 ml intra-muscular into the right deltoid, and Gardasil (lot# 0868F), 0.5 ml intra-muscular into the left deltoid. The patient''s mom was unaware of pregnancy prior, therefore did not have prenatal care. The patient''s mother experienced abdominal pain prior to going to the hospital and took hydrocodone prior to going to the hospital, when she delivered a baby on 23 April 2007. Meconium stated upon delivery. Baby was having seizures and was transferred to neonatal care where baby remained. The reporter denied that the patient''s mother was on current medications. The patient''s mother medical history included recurrent tonsillitis. The mother case number is 2007-01504.


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