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This is VAERS ID 322230

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 322230
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 w"eek. Received Hep A & Varicella vaccines that day.


Changed on 12/8/2009

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Unknown Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 w"eek. week. Received Hep A & Varicella vaccines that day.


Changed on 1/5/2010

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines that day. tha


Changed on 4/7/2010

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Rash, Skin lesion

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha


Changed on 4/13/2011

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha


Changed on 5/13/2011

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha


Changed on 6/11/2011

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha


Changed on 6/14/2014

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha


Changed on 4/14/2017

VAERS ID: 322230 Before After
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2008-02-06
Onset:2008-08-04
Submitted:2008-08-14
Entered:2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 0 RA / UN

Administered by: Other      Purchased by: Public
Symptoms: Full blood count normal, Rash, Skin lesion, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC 'Split Type':

Write-up:Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha


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