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This is VAERS ID 460291

History of Changes from the VAERS Wayback Machine

First Appeared on 8/13/2012

VAERS ID: 460291
VAERS Form:
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 0 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.


Changed on 9/14/2017

VAERS ID: 460291 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 0 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 1 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.


Changed on 2/14/2018

VAERS ID: 460291 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.


Changed on 6/14/2018

VAERS ID: 460291 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.


Changed on 8/14/2018

VAERS ID: 460291 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.


Changed on 9/14/2018

VAERS ID: 460291 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.


Changed on 10/14/2018

VAERS ID: 460291 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Texas
Vaccinated:2012-07-16
Onset:2012-07-19
Submitted:2012-07-26
Entered:2012-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AE / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS M11047 / 2 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Small intestinal obstruction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Age 3 - ruptured appendix; 5/2004 Adhesive bowel obstruction; 6/2004 Bilateral hydroceles; 10/2006 Osgood-Schlatter (L) knee
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Child rec''d HPV#1 & MENVEO on 7-16-12 - was fine when left office. On 7-19-12 presented ER - Dx: small bowel obstruction.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=460291&WAYBACKHISTORY=ON


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