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This is VAERS ID 283996

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283996
Age:11.0
Gender:Male
Location:Texas
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB37AAE / 3 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0099U / 2 - / SC
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: No adverse effect, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:No evidence of side effects, HPV vaccine given


Changed on 12/8/2009

VAERS ID: 283996 Before After
Age:11.0 7.0
Gender:Male
Location:Texas
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB37AAE / 3 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0099U / 2 - / SC
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 - / IM

Administered by: Public      Purchased by: Unknown Other
Symptoms: No adverse effect, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:No evidence of side effects, HPV vaccine given


Changed on 4/7/2010

VAERS ID: 283996 Before After
Age:7.0
Gender:Male
Location:Texas
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB37AAE / 3 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0099U / 2 - / SC
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 - / IM

Administered by: Public      Purchased by: Other
Symptoms: No adverse effect, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:No evidence of side effects, HPV vaccine given


Changed on 6/14/2014

VAERS ID: 283996 Before After
Age:7.0
Gender:Male
Location:Texas
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB37AAE / 3 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0099U / 2 - / SC
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 - / IM

Administered by: Public      Purchased by: Other
Symptoms: No adverse effect, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:No evidence of side effects, HPV vaccine given


Changed on 5/14/2017

VAERS ID: 283996 Before After
Age:7.0
Gender:Male
Location:Texas
Vaccinated:2007-06-19
Onset:2007-06-19
Submitted:2007-06-20
Entered:2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB37AAE / 3 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0099U / 2 - / SC
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 - / IM

Administered by: Public      Purchased by: Other
Symptoms: No adverse effect, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:No evidence of side effects, HPV vaccine given


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