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This is VAERS ID 321626

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

321626
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-07-29
Onset:2008-07-29
Submitted:2008-08-04
Entered:2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB238AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1967U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2663AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hypoaesthesia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:/"Tingling/numbness/" (B) legs. Mostly in pinkie toe.


Changed on 12/8/2009

321626 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-07-29
Onset:2008-07-29
Submitted:2008-08-04
Entered:2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB238AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1967U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2663AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hypoaesthesia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:/"Tingling/numbness/" "Tingling/numbness" (B) legs. Mostly in pinkie toe.


Changed on 4/7/2010

321626 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-07-29
Onset:2008-07-29
Submitted:2008-08-04
Entered:2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB238AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1967U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2663AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:"Tingling/numbness" (B) legs. Mostly in pinkie toe.


Changed on 9/14/2017

321626 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-07-29
Onset:2008-07-29
Submitted:2008-08-04
Entered:2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB238AA / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1967U / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2663AA / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Hypoaesthesia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:"Tingling/numbness" (B) legs. Mostly in pinkie toe.


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