National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 626212

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 626212
VAERS Form:
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 0 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 1 LA / UN
TD: TETANUS DIPHTHERIA (TENIVAC) / SANOFI PASTEUR U4669AA / 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 9/14/2017

VAERS ID: 626212 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 0 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 0 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 1 2 LA / UN
TD: TETANUS DIPHTHERIA (TENIVAC) / SANOFI PASTEUR U4669AA / 1 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 1/14/2018

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TETANUS DIPHTHERIA (TENIVAC) TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 2/14/2018

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 6/14/2018

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 8/14/2018

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 9/14/2018

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 10/14/2018

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 12/24/2020

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 12/30/2020

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 5/7/2021

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.


Changed on 5/21/2021

VAERS ID: 626212 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Arizona
Vaccinated:2016-02-25
Onset:0000-00-00
Submitted:2016-02-25
Entered:2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 RA / UN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 149001 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5216AA / 2 LA / UN
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR U4669AA / 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Drug administered to patient of inappropriate age

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

Write-up: None stated.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=626212&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166