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This is VAERS ID 273808

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273808
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type':

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''''t move-went to hosp ER-was in ER for 8 hours. No convul"sion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from re


Changed on 12/8/2009

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': (blank) M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''''t weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convul"sion convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from re reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 3/2/2010

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0962F / 0 - UN / - UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 4/7/2010

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 1/4/2011

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 4/13/2011

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 5/13/2011

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 6/11/2011

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


Changed on 5/14/2017

VAERS ID: 273808 Before After
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-19
Onset:2007-01-20
Submitted:2007-02-01
Entered:2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Chest X-ray normal, Confusional state, Dehydration, Diplopia, Electrocardiogram normal, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Musculoskeletal pain, Nasal congestion, Orthostatic hypotension, Pain in extremity, Paraesthesia, Pharyngolaryngeal pain, Sensory disturbance, Stress, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC 'Split Type': M12007004

Write-up:1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


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