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This is VAERS ID 630303

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 630303
VAERS Form:
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 0 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 0 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 9/14/2017

VAERS ID: 630303 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 0 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 0 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 2/14/2018

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 6/14/2018

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 8/14/2018

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 9/14/2018

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 10/14/2018

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 12/24/2020

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 12/30/2020

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 5/7/2021

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.


Changed on 5/21/2021

VAERS ID: 630303 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:California
Vaccinated:2016-04-04
Onset:2016-04-04
Submitted:2016-04-04
Entered:2016-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L026602 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5228BB / 1 LA / IM

Administered by: Public      Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth

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: NO MEDICATIONS CURRENTLY. MOM INSTRUCTED ON USE OF IBUPROFEN (IF NOT CONTRAINDICATED FOR PATIENT) AT HOME TO HELP WITH ANY SWELLING AND DISCOMFORT BEYOND THE REDNESS AND HEAT THAT MAY OCCUR.
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE AT THIS TIME
CDC 'Split Type':

Write-up: SMALL AMOUNT OF HEAT FELT ON RIGHT DELTOID INJECTION SITE. COLD COMPRESS PLACED. 2 MIN LATER NOTICED REDNESS AND HEAT AT THE LEFT DELTOID FRONT INJECTION SITE. COLD COMPRESS PLACED.

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