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This is VAERS ID 280184

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280184
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-05-29
Onset:0000-00-00
Submitted:2007-05-31
Entered:2007-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0469U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2209AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug exposure during pregnancy, Blood human chorionic gonadotropin increased

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: Prozac, Lithium
Current Illness: Bipolar
Preexisting Conditions: Bipolar
Allergies:
Diagnostic Lab Data: B Hcg on 5/9/07 elevated
CDC 'Split Type':

Write-up:Patient was Pregnant at time of vaccine given.


Changed on 12/8/2009

280184 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-05-29
Onset:0000-00-00
Submitted:2007-05-31
Entered:2007-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0469U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2209AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Drug exposure during pregnancy, Blood human chorionic gonadotropin increased

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: Prozac, Lithium
Current Illness: Bipolar
Preexisting Conditions: Bipolar
Allergies:
Diagnostic Lab Data: B Hcg on 5/9/07 elevated
CDC 'Split Type':

Write-up:Patient was Pregnant at time of vaccine given.


Changed on 4/7/2010

280184 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-05-29
Onset:0000-00-00
Submitted:2007-05-31
Entered:2007-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0469U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2209AA / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Drug exposure during pregnancy, Blood human chorionic gonadotropin increased

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: Prozac, Lithium
Current Illness: Bipolar
Preexisting Conditions: Bipolar
Allergies:
Diagnostic Lab Data: B Hcg on 5/9/07 elevated
CDC 'Split Type':

Write-up:Patient was Pregnant at time of vaccine given.


Changed on 9/14/2017

280184 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-05-29
Onset:0000-00-00
Submitted:2007-05-31
Entered:2007-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0469U / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2209AA / 0 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Drug exposure during pregnancy, Blood human chorionic gonadotropin increased

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: Prozac, Lithium
Current Illness: Bipolar
Preexisting Conditions: Bipolar
Allergies:
Diagnostic Lab Data: B Hcg on 5/9/07 elevated
CDC 'Split Type':

Write-up:Patient was Pregnant at time of vaccine given.


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