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This is VAERS ID 282858

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282858
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0018U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain upper, Blood pressure decreased, Body temperature increased, Dizziness, Injection site pain

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: Concerta
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, stomach cramping, Rt arm pain down from deltoid to elbow. Immediate warmth around injection site. Temp 99.2, BP 90/60


Changed on 12/8/2009

282858 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0018U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Abdominal pain upper, Blood pressure decreased, Body temperature increased, Dizziness, Injection site pain, 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: Concerta
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, stomach cramping, Rt arm pain down from deltoid to elbow. Immediate warmth around injection site. Temp 99.2, BP 90/60


Changed on 4/7/2010

282858 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0018U / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Abdominal pain upper, Blood pressure decreased, Body temperature increased, Dizziness, Injection site pain, 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: Concerta
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, stomach cramping, Rt arm pain down from deltoid to elbow. Immediate warmth around injection site. Temp 99.2, BP 90/60


Changed on 9/14/2017

282858 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-18
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0018U / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Abdominal pain upper, Blood pressure decreased, Body temperature increased, Dizziness, Injection site pain, 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: Concerta
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizzy, stomach cramping, Rt arm pain down from deltoid to elbow. Immediate warmth around injection site. Temp 99.2, BP 90/60


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