National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 282959

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282959
VAERS Form:
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-14
Onset:0000-00-00
Submitted:2007-06-19
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C261005AA / 5 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2224AA / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:None


Changed on 12/8/2009

282959 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-14
Onset:0000-00-00
Submitted:2007-06-19
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C261005AA / 5 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2224AA / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Inappropriate schedule of drug administration

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:None


Changed on 4/7/2010

282959 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-14
Onset:0000-00-00
Submitted:2007-06-19
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C261005AA / 5 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2224AA / 0 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Inappropriate schedule of drug administration

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:None


Changed on 9/14/2017

282959 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-14
Onset:0000-00-00
Submitted:2007-06-19
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C261005AA / 5 6 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2224AA / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Inappropriate schedule of drug administration

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:None


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282959&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166