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This is VAERS ID 595387

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 595387
VAERS Form:
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / - RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / - LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.


Changed on 9/14/2017

VAERS ID: 595387 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / - UNK RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / - UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 1 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.


Changed on 2/14/2018

VAERS ID: 595387 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / UNK RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.


Changed on 6/14/2018

VAERS ID: 595387 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / UNK RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.


Changed on 8/14/2018

VAERS ID: 595387 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / UNK RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.


Changed on 9/14/2018

VAERS ID: 595387 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / UNK RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.


Changed on 10/14/2018

VAERS ID: 595387 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Connecticut
Vaccinated:2015-09-10
Onset:2015-09-12
Submitted:2015-09-15
Entered:2015-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L011846 / UNK RA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5058AD / 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Chills, Culture urine negative, Full blood count normal, Haematuria, Nausea, Pregnancy test negative, Red blood cells urine positive, Ultrasound kidney normal, Ultrasound pelvis normal, Metabolic function test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CBC, CMP - WNL; Serum pregnancy test - negative; Microscopic U/A - 50+ RBCs; Urine Culture - negative; Kidney and pelvic Ultrasound - WNL
CDC 'Split Type':

Write-up: Patient has nausea, chills x 48 hours after vaccines. Then the morning of 9/12, patient developed gross hematuria.

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