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This is VAERS ID 281089

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281089
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-06-04
Onset:2007-06-04
Submitted:2007-06-04
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1974AB / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Flushing, Full blood count, Muscular weakness, Nausea, Decreased appetite

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Diflucan
Current Illness: otitis yeast infection
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: CBC w/diff (awaiting results)
CDC 'Split Type':

Write-up:fever (102.F), flushed cheeks, leg/arm pain, weakness in legs, nausea, poor appetite x 2 days


Changed on 12/8/2009

VAERS ID: 281089 Before After
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-06-04
Onset:2007-06-04
Submitted:2007-06-04
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1974AB / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Flushing, Full blood count, Muscular weakness, Nausea, Pain, Pyrexia, Decreased appetite

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Diflucan
Current Illness: otitis yeast infection
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: CBC w/diff (awaiting results)
CDC 'Split Type':

Write-up:fever (102.F), flushed cheeks, leg/arm pain, weakness in legs, nausea, poor appetite x 2 days


Changed on 4/7/2010

VAERS ID: 281089 Before After
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-06-04
Onset:2007-06-04
Submitted:2007-06-04
Entered:2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1974AB / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Flushing, Full blood count, Muscular weakness, Nausea, Pain, Pyrexia, Decreased appetite

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Zithromax, Diflucan
Current Illness: otitis yeast infection
Preexisting Conditions: Amoxicillin
Diagnostic Lab Data: CBC w/diff (awaiting results)
CDC 'Split Type':

Write-up:fever (102.F), flushed cheeks, leg/arm pain, weakness in legs, nausea, poor appetite x 2 days


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281089&WAYBACKHISTORY=ON


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