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This is VAERS ID 281688

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281688
VAERS Form:
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-13
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2226AA / 1 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, No adverse effect

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was given 2nd Menactra vaccine. First vaccine was not on client record. No reaction.


Changed on 12/8/2009

281688 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-13
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2226AA / 1 LA / IM

Administered by: Public      Purchased by: Unknown Military
Symptoms: Inappropriate schedule of drug administration, No adverse effect

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was given 2nd Menactra vaccine. First vaccine was not on client record. No reaction.


Changed on 4/7/2010

281688 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-13
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2226AA / 1 LA / IM

Administered by: Public      Purchased by: Military
Symptoms: Inappropriate schedule of drug administration, No adverse effect

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was given 2nd Menactra vaccine. First vaccine was not on client record. No reaction.


Changed on 9/14/2017

281688 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-13
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2226AA / 1 2 LA / IM

Administered by: Public      Purchased by: Military
Symptoms: Inappropriate schedule of drug administration, No adverse effect

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was given 2nd Menactra vaccine. First vaccine was not on client record. No reaction.


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