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This is VAERS ID 283280

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283280
VAERS Form:
Age:17.0
Gender:Female
Location:Montana
Vaccinated:2007-06-20
Onset:0000-00-00
Submitted:2007-06-28
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB080AB / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2232AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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

283280 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Montana
Vaccinated:2007-06-20
Onset:0000-00-00
Submitted:2007-06-28
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB080AB / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2232AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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

283280 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Montana
Vaccinated:2007-06-20
Onset:0000-00-00
Submitted:2007-06-28
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS AHABB080AB / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2232AA / 0 1 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283280&WAYBACKHISTORY=ON


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