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This is VAERS ID 282734

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282734
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-23
Onset:2007-06-23
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1501F / 0 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Blood pressure decreased, Heart rate decreased, Pallor, Musculoskeletal stiffness

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:After 3 minutes of the application, the patient got paleness, weakness, shakeness, generalized stiffness. She asked then /"What happened? The BP went down to 80/60, and heart rate around 50''''s. The situation resolved in 15 minutes. No aditional treatment"was given.


Changed on 12/8/2009

VAERS ID: 282734 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-23
Onset:2007-06-23
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1501F / 0 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Blood pressure decreased, Heart rate decreased, Pallor, Tremor, Musculoskeletal stiffness

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:After 3 minutes of the application, the patient got paleness, weakness, shakeness, generalized stiffness. She asked then /"What "What happened? The BP went down to 80/60, and heart rate around 50''''s. 50''s. The situation resolved in 15 minutes. No aditional treatment"was treatment was given.


Changed on 4/7/2010

VAERS ID: 282734 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-23
Onset:2007-06-23
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1501F / 0 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Blood pressure decreased, Heart rate decreased, Pallor, Tremor, Musculoskeletal stiffness

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:After 3 minutes of the application, the patient got paleness, weakness, shakeness, generalized stiffness. She asked then "What happened? The BP went down to 80/60, and heart rate around 50''s. The situation resolved in 15 minutes. No aditional treatment was given.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282734&WAYBACKHISTORY=ON


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