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This is VAERS ID 626960

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 626960
VAERS Form:
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 9/14/2017

VAERS ID: 626960 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 1 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 0 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 1 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 2/14/2018

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 6/14/2018

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 8/14/2018

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 9/14/2018

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 10/14/2018

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 12/24/2020

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 12/30/2020

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 5/7/2021

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


Changed on 5/21/2021

VAERS ID: 626960 Before After
VAERS Form:1
Age:16.0
Sex:Male
Location:South Carolina
Vaccinated:2016-02-29
Onset:2016-03-02
Submitted:2016-03-11
Entered:2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Erythema, Pain in extremity, Induration

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: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: 3 cm erythema induration in (L) arm w/arm pain.

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