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This is VAERS ID 411211

History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

VAERS ID: 411211
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2010-12-02
Onset:2010-12-02
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU(10-11): INFLUENZA (SEASONAL) (FLUZONE 10-11) / SANOFI PASTEUR U3576AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0766Z / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:syncope


Changed on 7/12/2011

VAERS ID: 411211 Before After
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2010-12-02
Onset:2010-12-02
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3576AA / 0 LA / IM
FLU(10-11): INFLUENZA (SEASONAL) (FLUZONE 10-11) / SANOFI PASTEUR U3576AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0766Z / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:syncope


Changed on 7/7/2013

VAERS ID: 411211 Before After
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2010-12-02
Onset:2010-12-02
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3576AA / 0 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3576AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0766Z / 1 RA / IM

Administered by: Public      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:syncope


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=411211&WAYBACKHISTORY=ON


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