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This is VAERS ID 279994

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279994
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-22
Onset:0000-00-00
Submitted:2007-05-22
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2224AA / 1 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Medication error, Unevaluable event

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

Write-up:None noted. 6/7/07-Spoke with reporter, the patients received a second dose of Menactra by mistake.


Changed on 12/8/2009

VAERS ID: 279994 Before After
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-22
Onset:0000-00-00
Submitted:2007-05-22
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2224AA / 1 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Medication error, Unevaluable event

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

Write-up:None noted. 6/7/07-Spoke with reporter, the patients received a second dose of Menactra by mistake.


Changed on 4/7/2010

VAERS ID: 279994 Before After
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-22
Onset:0000-00-00
Submitted:2007-05-22
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2224AA / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Medication error, Unevaluable event

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

Write-up:None noted. 6/7/07-Spoke with reporter, the patients received a second dose of Menactra by mistake.


Changed on 5/14/2017

VAERS ID: 279994 Before After
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-05-22
Onset:0000-00-00
Submitted:2007-05-22
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2224AA / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Medication error, Unevaluable event

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

Write-up:None noted. 6/7/07-Spoke with reporter, the patients received a second dose of Menactra by mistake.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279994&WAYBACKHISTORY=ON


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