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This is VAERS ID 281926

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281926
Age:15.0
Gender:Female
Location:Ohio
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1967AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Loss of consciousness

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

Write-up:Passed out


Changed on 12/8/2009

VAERS ID: 281926 Before After
Age:15.0
Gender:Female
Location:Ohio
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U1967AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Loss of consciousness

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

Write-up:Passed out


Changed on 4/7/2010

VAERS ID: 281926 Before After
Age:15.0
Gender:Female
Location:Ohio
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1967AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Loss of consciousness

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

Write-up:Passed out


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281926&WAYBACKHISTORY=ON


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