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This is VAERS ID 591687

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 591687
VAERS Form:
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 0 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.


Changed on 9/14/2017

VAERS ID: 591687 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 0 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.


Changed on 2/14/2018

VAERS ID: 591687 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.


Changed on 6/14/2018

VAERS ID: 591687 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.


Changed on 8/14/2018

VAERS ID: 591687 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.


Changed on 9/14/2018

VAERS ID: 591687 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.


Changed on 10/14/2018

VAERS ID: 591687 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Unknown
Vaccinated:2015-08-06
Onset:2015-08-06
Submitted:2015-08-26
Entered:2015-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Myalgia, Pyrexia

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: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever, headache, joint and muscle pain for 3 days.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=591687&WAYBACKHISTORY=ON


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