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This is VAERS ID 278534

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278534
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) / MERCK & CO. INC. 1246F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1892AA / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Discovered she was pregnant 5-3-07 LMP 2-14-07


Changed on 12/8/2009

278534 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) / MERCK & CO. INC. 1246F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1892AA / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Discovered she was pregnant 5-3-07 LMP 2-14-07


Changed on 4/7/2010

278534 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) / MERCK & CO. INC. 1246F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Discovered she was pregnant 5-3-07 LMP 2-14-07


Changed on 8/31/2010

278534 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 1246F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Discovered she was pregnant 5-3-07 LMP 2-14-07


Changed on 9/14/2017

278534 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1246F / 1 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: 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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Discovered she was pregnant 5-3-07 LMP 2-14-07


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