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This is VAERS ID 278697

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278697
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-04-23
Onset:2007-04-24
Submitted:2007-04-25
Entered:2007-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1920AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Fatigue, Injection site erythema, Injection site pain, Axillary pain

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

Write-up:Fever up to 103 F, fatigue, malaise, body aches, redness and pain at Menactra site and pain in L axillary area for 26 hours. 2 cm area of erythema at vaccine site.


Changed on 12/8/2009

VAERS ID: 278697 Before After
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-04-23
Onset:2007-04-24
Submitted:2007-04-25
Entered:2007-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1920AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Fatigue, Injection site erythema, Injection site pain, Malaise, Pain, Pyrexia, Axillary pain

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

Write-up:Fever up to 103 F, fatigue, malaise, body aches, redness and pain at Menactra site and pain in L axillary area for 26 hours. 2 cm area of erythema at vaccine site.


Changed on 4/7/2010

VAERS ID: 278697 Before After
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-04-23
Onset:2007-04-24
Submitted:2007-04-25
Entered:2007-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1920AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fatigue, Injection site erythema, Injection site pain, Malaise, Pain, Pyrexia, Axillary pain

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

Write-up:Fever up to 103 F, fatigue, malaise, body aches, redness and pain at Menactra site and pain in L axillary area for 26 hours. 2 cm area of erythema at vaccine site.


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