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This is VAERS ID 282228

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282228
VAERS Form:
Age:12.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2050AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Injection site erythema, Injection site pain, Cold compress therapy

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:2-3cm area of erythema - right deltoid, warm to touch, tender, vomiting, diarrhea, headache, ice and Benadryl for treatment.


Changed on 12/8/2009

282228 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2050AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Diarrhoea, Headache, Injection site erythema, Injection site pain, Injection site warmth, Vomiting, Cold compress therapy

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:2-3cm area of erythema - right deltoid, warm to touch, tender, vomiting, diarrhea, headache, ice and Benadryl for treatment.


Changed on 4/7/2010

282228 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2050AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Diarrhoea, Headache, Injection site erythema, Injection site pain, Injection site warmth, Vomiting, Cold compress therapy

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:2-3cm area of erythema - right deltoid, warm to touch, tender, vomiting, diarrhea, headache, ice and Benadryl for treatment.


Changed on 9/14/2017

282228 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-05
Onset:2007-06-06
Submitted:2007-06-11
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2050AA / 0 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Diarrhoea, Headache, Injection site erythema, Injection site pain, Injection site warmth, Vomiting, Cold compress therapy

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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:2-3cm area of erythema - right deltoid, warm to touch, tender, vomiting, diarrhea, headache, ice and Benadryl for treatment.


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