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This is VAERS ID 278665

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278665
Age:12.0
Gender:Female
Location:Minnesota
Vaccinated:2007-03-13
Onset:2007-04-08
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2688AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2108AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:ILLNESS WITH HEADACHE, NAUSEA, VOMITING DIARRHEA AND FATIGUE FROM 4/8/07 - 4/13/07; RECEIVED GARDASIL VACCINATION ON 3/13/07; NO TREATMENT


Changed on 12/8/2009

VAERS ID: 278665 Before After
Age:12.0
Gender:Female
Location:Minnesota
Vaccinated:2007-03-13
Onset:2007-04-08
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2688AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2108AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Nausea, Vomiting, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:ILLNESS WITH HEADACHE, NAUSEA, VOMITING DIARRHEA AND FATIGUE FROM 4/8/07 - 4/13/07; RECEIVED GARDASIL VACCINATION ON 3/13/07; NO TREATMENT


Changed on 4/7/2010

VAERS ID: 278665 Before After
Age:12.0
Gender:Female
Location:Minnesota
Vaccinated:2007-03-13
Onset:2007-04-08
Submitted:2007-05-15
Entered:2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2688AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2108AA / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Fatigue, Headache, Malaise, Nausea, Vomiting, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:ILLNESS WITH HEADACHE, NAUSEA, VOMITING DIARRHEA AND FATIGUE FROM 4/8/07 - 4/13/07; RECEIVED GARDASIL VACCINATION ON 3/13/07; NO TREATMENT


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278665&WAYBACKHISTORY=ON


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