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This is VAERS ID 283994

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283994
VAERS Form:
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:0000-00-00
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2223AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Urticaria

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: None
Current Illness: Mild URI x 2 days Prior
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Generalized urticaria within 2 hours of vaccinations, lasted $g1 week.


Changed on 12/8/2009

283994 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:0000-00-00
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2223AA / 0 RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Urticaria

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: None
Current Illness: Mild URI x 2 days Prior
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Generalized urticaria within 2 hours of vaccinations, lasted $g1 week.


Changed on 4/7/2010

283994 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:0000-00-00
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2223AA / 0 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Urticaria

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: None
Current Illness: Mild URI x 2 days Prior
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Generalized urticaria within 2 hours of vaccinations, lasted $g1 week.


Changed on 9/14/2017

283994 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:0000-00-00
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2223AA / 0 1 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Urticaria

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: None
Current Illness: Mild URI x 2 days Prior
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Generalized urticaria within 2 hours of vaccinations, lasted $g1 week.


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