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This is VAERS ID 282927

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282927
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-06-26
Onset:2007-06-26
Submitted:2007-06-27
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0515U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR UE518AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B006BA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Haematuria, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin and Tylenol
Current Illness: none
Preexisting Conditions: thyroglossal cyst and inguinal hernias as a child
Diagnostic Lab Data: none done
CDC 'Split Type':

Write-up:Apparent Hematuria (pink-red urine) approximately 6 hours after administration of 3 vaccines. Continued through the evening, tea-colored urine in morning and then cleared. No other symptoms noted. NOrmal UA at the exam earlier in the day.


Changed on 12/8/2009

VAERS ID: 282927 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-06-26
Onset:2007-06-26
Submitted:2007-06-27
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0515U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR UE518AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B006BA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Haematuria, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin and Tylenol
Current Illness: none
Preexisting Conditions: thyroglossal cyst and inguinal hernias as a child
Diagnostic Lab Data: none done
CDC 'Split Type':

Write-up:Apparent Hematuria (pink-red urine) approximately 6 hours after administration of 3 vaccines. Continued through the evening, tea-colored urine in morning and then cleared. No other symptoms noted. NOrmal UA at the exam earlier in the day.


Changed on 4/7/2010

VAERS ID: 282927 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-06-26
Onset:2007-06-26
Submitted:2007-06-27
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0515U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE518AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B006BA / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Haematuria, Urine analysis abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin and Tylenol
Current Illness: none
Preexisting Conditions: thyroglossal cyst and inguinal hernias as a child
Diagnostic Lab Data: none done
CDC 'Split Type':

Write-up:Apparent Hematuria (pink-red urine) approximately 6 hours after administration of 3 vaccines. Continued through the evening, tea-colored urine in morning and then cleared. No other symptoms noted. NOrmal UA at the exam earlier in the day.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282927&WAYBACKHISTORY=ON


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