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This is VAERS ID 316982

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 316982
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2008-06-16
Entered:2008-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0017U / 0 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2225AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Fibroadenoma of breast, Surgery, Ultrasound breast, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: blood work; breast ultra sound
CDC 'Split Type':

Write-up:surgical removal of giant fibroidenoma from left breast. Further plastic surgery required. Tumor was 14cm by 13cm by 6cm.


Changed on 4/7/2010

VAERS ID: 316982 Before After
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2008-06-16
Entered:2008-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0017U / 0 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Fibroadenoma of breast, Surgery, Ultrasound breast, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: blood work; breast ultra sound
CDC 'Split Type':

Write-up:surgical removal of giant fibroidenoma from left breast. Further plastic surgery required. Tumor was 14cm by 13cm by 6cm.


Changed on 6/14/2014

VAERS ID: 316982 Before After
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2008-06-16
Entered:2008-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0017U / 0 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Fibroadenoma of breast, Surgery, Ultrasound breast, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: blood work; breast ultra sound
CDC 'Split Type':

Write-up:surgical removal of giant fibroidenoma from left breast. Further plastic surgery required. Tumor was 14cm by 13cm by 6cm.


Changed on 4/14/2017

VAERS ID: 316982 Before After
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-04-13
Onset:0000-00-00
Submitted:2008-06-16
Entered:2008-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0017U / 0 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Fibroadenoma of breast, Surgery, Ultrasound breast, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: blood work; breast ultra sound
CDC 'Split Type':

Write-up:surgical removal of giant fibroidenoma from left breast. Further plastic surgery required. Tumor was 14cm by 13cm by 6cm.


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