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This is VAERS ID 228893

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2004

VAERS ID: 228893
VAERS Form:
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNC: MENINGOCOCCAL (MENINGITEC) / WYETH LABORATORI UE296AA / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: DIZZINESS, FEVER, HEADACHE, DYSPNEA, ASTHMA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different"individuals have given us details of her being so sick that she couldn''''t even hold her head up.


Changed on 12/8/2009

VAERS ID: 228893 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MNC: MENINGOCOCCAL (MENINGITEC) MENINGOCOCCAL CONJUGATE (NO BRAND NAME) / WYETH LABORATORI UNKNOWN MANUFACTURER UE296AA / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing, DIZZINESS, FEVER, HEADACHE, DYSPNEA, ASTHMA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different"individuals different individuals have given us details of her being so sick that she couldn''''t couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 5/11/2010

VAERS ID: 228893 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 0 LA / SC
MNC: MENINGOCOCCAL CONJUGATE (NO BRAND NAME) / UNKNOWN MANUFACTURER UE296AA / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 6/14/2014

VAERS ID: 228893 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 5/14/2017

VAERS ID: 228893 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 9/14/2017

VAERS ID: 228893 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 0 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 2/14/2018

VAERS ID: 228893 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 6/14/2018

VAERS ID: 228893 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 8/14/2018

VAERS ID: 228893 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 9/14/2018

VAERS ID: 228893 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.


Changed on 10/14/2018

VAERS ID: 228893 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Texas
Vaccinated:2004-08-28
Onset:2004-08-28
Submitted:2004-11-08
Entered:2004-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR UE296AA / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Headache, Injury, Loss of consciousness, Nasal congestion, Nausea, Pyrexia, Wheezing

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: none
Current Illness: Patient had caught a cold on Friday and was feeling a little tried and she had alot of drainage.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: high fever, dizziness, nausea, congestion and diffculty breathing, wheezing, extremely bad headache, like a bad migraine. Patient passed out while driving her car and crossed over the highway into oncoming traffic and was killed instantly. Four different individuals have given us details of her being so sick that she couldn''t even hold her head up. 11/11/04 Medical records received from PCP. Autopsy Report received on 11/22/2004 states pt expereinced blunt force injuries.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=228893&WAYBACKHISTORY=ON


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