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This is VAERS ID 397807

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/22/2010

VAERS ID: 397807
VAERS Form:
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 0 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 0 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 0 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 1 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 9/14/2017

VAERS ID: 397807 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 0 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 0 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 0 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 0 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 1 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 2/14/2018

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 6/14/2018

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 8/14/2018

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 9/14/2018

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 10/14/2018

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 12/24/2020

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 12/30/2020

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 5/7/2021

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


Changed on 5/21/2021

VAERS ID: 397807 Before After
VAERS Form:1
Age:13.0
Sex:Male
Location:Missouri
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted:2010-09-03
Entered:2010-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public      Purchased by: Public
Symptoms: Wrong drug administered, No adverse event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.

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