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This is VAERS ID 282413

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282413
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-17
Onset:2007-04-18
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2139AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Dizziness, Rash generalised, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vaccines administered evening of 4/17/07, client did not have any adverse effect until next day. States while in school started feeling weak and dizzy, this progressivly became worse, but did not require leaving school. That night symptoms still occuring"and worsening. /"almost drunk -like/" Mother callled ER at Hospital. Instruced to give Benadryl. Client Slept through night. Remained /"dizzy and uncoordinated: the next morning, received more Benadryl. Symptoms resolved that day. No rash during initial e


Changed on 12/8/2009

VAERS ID: 282413 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-17
Onset:2007-04-18
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2139AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Dizziness, Rash generalised, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vaccines administered evening of 4/17/07, client did not have any adverse effect until next day. States while in school started feeling weak and dizzy, this progressivly became worse, but did not require leaving school. That night symptoms still occuring"and occuring and worsening. /"almost "almost drunk -like/" -like" Mother callled ER at Hospital. Instruced to give Benadryl. Client Slept through night. Remained /"dizzy "dizzy and uncoordinated: the next morning, received more Benadryl. Symptoms resolved that day. No rash during initial e episode, but did C/O rash over majority of body, possibly hives, about 2 weeks after immunizations. Benadryl given about TID during this episode and rash lasted about 3 days.No further symptoms. Informed of these events on 6/19/07 when client came in for HPV #2, incident reviewed by Medical director and order obtained to give HPV #2, request that family call Health Department for any problems.


Changed on 4/7/2010

VAERS ID: 282413 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-17
Onset:2007-04-18
Submitted:2007-06-20
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2139AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Dizziness, Rash generalised, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vaccines administered evening of 4/17/07, client did not have any adverse effect until next day. States while in school started feeling weak and dizzy, this progressivly became worse, but did not require leaving school. That night symptoms still occuring and worsening. "almost drunk -like" Mother callled ER at Hospital. Instruced to give Benadryl. Client Slept through night. Remained "dizzy and uncoordinated: the next morning, received more Benadryl. Symptoms resolved that day. No rash during initial episode, but did C/O rash over majority of body, possibly hives, about 2 weeks after immunizations. Benadryl given about TID during this episode and rash lasted about 3 days.No further symptoms. Informed of these events on 6/19/07 when client came in for HPV #2, incident reviewed by Medical director and order obtained to give HPV #2, request that family call Health Department for any problems.


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