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This is VAERS ID 283531

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283531
VAERS Form:
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-15
Onset:2007-06-16
Submitted:2007-06-27
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2278AA / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anxiety, Culture throat negative, Nausea, Palpitations, Pharyngolaryngeal 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avian
Current Illness:
Preexisting Conditions: Anxiety D/O, obesity
Allergies:
Diagnostic Lab Data: Throat culture - neg
CDC 'Split Type':

Write-up:Sore throat, palpitations, nausea, anxiety


Changed on 4/7/2010

283531 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-15
Onset:2007-06-16
Submitted:2007-06-27
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 LA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2278AA / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anxiety, Culture throat negative, Nausea, Palpitations, Pharyngolaryngeal 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avian
Current Illness:
Preexisting Conditions: Anxiety D/O, obesity
Allergies:
Diagnostic Lab Data: Throat culture - neg
CDC 'Split Type':

Write-up:Sore throat, palpitations, nausea, anxiety


Changed on 9/14/2017

283531 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-15
Onset:2007-06-16
Submitted:2007-06-27
Entered:2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 1 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2278AA / 0 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anxiety, Culture throat negative, Nausea, Palpitations, Pharyngolaryngeal 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Avian
Current Illness:
Preexisting Conditions: Anxiety D/O, obesity
Allergies:
Diagnostic Lab Data: Throat culture - neg
CDC 'Split Type':

Write-up:Sore throat, palpitations, nausea, anxiety


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