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This is VAERS ID 279291

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279291
VAERS Form:
Age:17.0
Gender:Female
Location:Minnesota
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-05-22
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / SANOFI PASTEUR 62244AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Gait disturbance, Nausea, Photophobia, Vomiting

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: ortho evra
Current Illness: uti
Preexisting Conditions: amoxicillin, latex allergies, recurrent uti''s
Allergies:
Diagnostic Lab Data: none, patient did not seek medical attention since it resolved on its own. She reported symptoms 5-22-07 when she presented to get her 3rd vaccination. 3rd shot not given.
CDC 'Split Type':

Write-up:generalized weakness, difficulty walking, photophobia, nausea. Started one hour after vaccine administered, lasted rest of day. Was gone the next morning. Occurred with first vaccine on 11-22-06 and with the second vaccine on 1-25-07. Also, after seco"nd vaccine only she vomitted one time.


Changed on 12/8/2009

279291 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Minnesota
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-05-22
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 62244AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Gait disturbance, Nausea, Photophobia, Vomiting

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: ortho evra
Current Illness: uti
Preexisting Conditions: amoxicillin, latex allergies, recurrent uti''s
Allergies:
Diagnostic Lab Data: none, patient did not seek medical attention since it resolved on its own. She reported symptoms 5-22-07 when she presented to get her 3rd vaccination. 3rd shot not given.
CDC 'Split Type':

Write-up:generalized weakness, difficulty walking, photophobia, nausea. Started one hour after vaccine administered, lasted rest of day. Was gone the next morning. Occurred with first vaccine on 11-22-06 and with the second vaccine on 1-25-07. Also, after seco"nd second vaccine only she vomitted one time.


Changed on 7/7/2013

279291 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Minnesota
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-05-22
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 62244AA / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 62244AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Gait disturbance, Nausea, Photophobia, Vomiting

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: ortho evra
Current Illness: uti
Preexisting Conditions: amoxicillin, latex allergies, recurrent uti''s
Allergies:
Diagnostic Lab Data: none, patient did not seek medical attention since it resolved on its own. She reported symptoms 5-22-07 when she presented to get her 3rd vaccination. 3rd shot not given.
CDC 'Split Type':

Write-up:generalized weakness, difficulty walking, photophobia, nausea. Started one hour after vaccine administered, lasted rest of day. Was gone the next morning. Occurred with first vaccine on 11-22-06 and with the second vaccine on 1-25-07. Also, after second vaccine only she vomitted one time.


Changed on 9/14/2017

279291 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Minnesota
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-05-22
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 62244AA / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Gait disturbance, Nausea, Photophobia, Vomiting

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: ortho evra
Current Illness: uti
Preexisting Conditions: amoxicillin, latex allergies, recurrent uti''s
Allergies:
Diagnostic Lab Data: none, patient did not seek medical attention since it resolved on its own. She reported symptoms 5-22-07 when she presented to get her 3rd vaccination. 3rd shot not given.
CDC 'Split Type':

Write-up:generalized weakness, difficulty walking, photophobia, nausea. Started one hour after vaccine administered, lasted rest of day. Was gone the next morning. Occurred with first vaccine on 11-22-06 and with the second vaccine on 1-25-07. Also, after second vaccine only she vomitted one time.


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