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This is VAERS ID 662875

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2016

VAERS ID: 662875
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-22
Onset:2007-01-22
Submitted:2016-10-31
Entered:2016-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U22206A / - RA / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1922AB / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B01HH / - RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypoaesthesia, Vomiting, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Steroid inhaler; NEXIUM; IMITREX; ZOFRAN
Current Illness: yes, we were in for a sick visit.
Preexisting Conditions: Acid Reflux, Hiatal Hernia, migraines
Diagnostic Lab Data: At this time Blood tests, and multiple dr''s. visits and communications with dr. and ER visits.
CDC 'Split Type':

Write-up:Dizziness, vomiting, numbness of extremities.


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