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This is VAERS ID 49911

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 49911
VAERS Form:
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENOMUNE A/C/Y/W / CONNAUGHT LABS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: RASH, DYSPEPSIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 12/8/2009

VAERS ID: 49911 Before After
VAERS Form:
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-17 1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENOMUNE A/C/Y/W MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash, RASH, DYSPEPSIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 5/14/2017

VAERS ID: 49911 Before After
VAERS Form:
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 9/14/2017

VAERS ID: 49911 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 2/14/2018

VAERS ID: 49911 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 6/14/2018

VAERS ID: 49911 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 8/14/2018

VAERS ID: 49911 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 9/14/2018

VAERS ID: 49911 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;


Changed on 10/14/2018

VAERS ID: 49911 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1993-02-01
Onset:1993-02-01
Submitted:1993-02-10
Entered:1993-02-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dyspepsia, Rash

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Donnatal & Maalox
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO4663

Write-up: rash; erythematous rash on arms to tips of fingers, then on neck & face 1 hr p/vax; also had GI upset about 1/2 hr p/inject;

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