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This is VAERS ID 316982

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

316982
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
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

316982 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
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

316982 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
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

316982 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
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 9/14/2017

316982 Before After
VAERS Form:(blank) 1
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 1 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 0 1 RA / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
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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