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This is VAERS ID 282662

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282662
VAERS Form:
Age:11.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-15
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2228AA / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration, Injection site warmth

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: None
CDC 'Split Type':

Write-up:L arm 4-5 inch area of warmth, redness, mildly indurated - non-tender - Non- itchy, developed approximately 24 hours after injections - treated with ice, Ibuprofen.


Changed on 12/8/2009

282662 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-15
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2228AA / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth

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: None
CDC 'Split Type':

Write-up:L arm 4-5 inch area of warmth, redness, mildly indurated - non-tender - Non- itchy, developed approximately 24 hours after injections - treated with ice, Ibuprofen.


Changed on 4/7/2010

282662 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-15
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2228AA / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth

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: None
CDC 'Split Type':

Write-up:L arm 4-5 inch area of warmth, redness, mildly indurated - non-tender - Non- itchy, developed approximately 24 hours after injections - treated with ice, Ibuprofen.


Changed on 9/14/2017

282662 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Nebraska
Vaccinated:2007-06-12
Onset:2007-06-13
Submitted:2007-06-15
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 1 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2228AA / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth

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: None
CDC 'Split Type':

Write-up:L arm 4-5 inch area of warmth, redness, mildly indurated - non-tender - Non- itchy, developed approximately 24 hours after injections - treated with ice, Ibuprofen.


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