National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 294682

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

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/".


Changed on 12/8/2009

VAERS ID: 294682 Before After
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 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.


Changed on 1/5/2010

VAERS ID: 294682 Before After
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
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, 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.


Changed on 4/7/2010

VAERS ID: 294682 Before After
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) 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.


Changed on 9/14/2017

VAERS ID: 294682 Before After
VAERS Form:(blank) 1
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 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.


Changed on 2/14/2018

VAERS ID: 294682 Before After
VAERS Form:1
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 / 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.


Changed on 6/14/2018

VAERS ID: 294682 Before After
VAERS Form:1
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 / 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.


Changed on 8/14/2018

VAERS ID: 294682 Before After
VAERS Form:1
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 / 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.


Changed on 9/14/2018

VAERS ID: 294682 Before After
VAERS Form:1
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 / 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.


Changed on 10/14/2018

VAERS ID: 294682 Before After
VAERS Form:1
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 / 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.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=294682&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166