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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 294682 |
VAERS Form: | |
Age: | 14.0 |
Sex: | Female |
Location: | Michigan |
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 0 | LA / IM |
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR | U2339AA / 0 | RA / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''''s /"mental state altered greatly. All of a sudden she became this witch./" Since then /"she became very aggressive and almost pouty in every situation/". S"he states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child /"has become aggressive, dar, argumentative/". She further states that since the shot the child has become /"mouthy to the teachers/".
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 0 | LA / IM |
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR | U2339AA / 0 | RA / IM |
Administered by: Private Purchased by: Unknown Public
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''''s /"mental child''s "mental state altered greatly. All of a sudden she became this witch./" witch." Since then /"she "she became very aggressive and almost pouty in every situation/". situation". S"he She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child /"has "has become aggressive, dar, argumentative/". argumentative". She further states that since the shot the child has become /"mouthy "mouthy to the teachers/". teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 0 | LA / IM |
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR | U2339AA / 0 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / - | RA / IM |
Administered by: Private Unknown Purchased by: Public Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dar,
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 0 | LA / IM |
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 0 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / - | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 0 1 | LA / IM |
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 0 1 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / - UNK | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 1 | LA / IM |
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 1 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / UNK | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 1 | LA / IM |
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 1 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / UNK | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 1 | LA / IM |
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 1 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / UNK | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 1 | LA / IM |
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 1 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / UNK | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Vaccinated: | 2007-09-13 |
Onset: | 2007-09-13 |
Submitted: | 2007-10-29 |
Entered: | 2007-10-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0245U / 1 | LA / IM |
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR | U2339AA / 1 | RA / IM |
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS | AC52BO12AA / UNK | RA / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Aggression, Mental status changes
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:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Received HPV #1 vaccine 9/13/07. Mother called on 10/29/07 stating since vaccine given, child''s "mental state altered greatly. All of a sudden she became this witch." Since then "she became very aggressive and almost pouty in every situation". She states that the child hit her (the mother) last Wednesday or Thursday. Mother states that since the shot the child "has become aggressive, dark, argumentative". She further states that since the shot the child has become "mouthy to the teachers". She has always been a "spirited child" according to the mother. Mother now states that the child seems to be calming down some. I offered to submit a VAERS report and mother agreed that I should do so.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=294682&WAYBACKHISTORY=ON
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