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This is VAERS ID 275631

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275631
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-02
Onset:2006-12-01
Submitted:2007-04-04
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 13 year old female who on 18-DEC-2006 was vaccinated with a first dose of Gardasil (lot #654389/0961F). There was no concomitant medication. Subsequently, the patient experienced hip, knee and an"kle pain. In January 2007, the patient began to experience occasional episodes of blurry vision. On 02-FEB-2007, the patient was vaccinated with a second dose of Gardasil. It was reported that the patient''''s symptoms /"severely worsened/" following the se


Changed on 12/8/2009

VAERS ID: 275631 Before After
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-02 2006-12-18
Onset:2006-12-01 0000-00-00
Submitted:2007-04-04
Entered:2007-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 0 UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Dizziness, Headache, Loss of consciousness, Vision blurred, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported
CDC 'Split Type': (blank) WAES0703USA05511

Write-up:Information has been received from a physician concerning a 13 year old female who on 18-DEC-2006 was vaccinated with a first dose of Gardasil (lot #654389/0961F). There was no concomitant medication. Subsequently, the patient experienced hip, knee and an"kle ankle pain. In January 2007, the patient began to experience occasional episodes of blurry vision. On 02-FEB-2007, the patient was vaccinated with a second dose of Gardasil. It was reported that the patient''''s patient''s symptoms /"severely worsened/" "severely worsened" following the se second dose of Gardasil and the patient also experienced lightheadedness and increase in headaches. The patient was seen by an orthopedic physician on 02-FEB-2007. Unspecified laboratory and diagnostic tests were performed (results not reported). On 07-FEB-2007 the patient experienced "one episode of blacking out." The patient saw a neurologist on 20-MAR-2007. At the time of the report, the patient had not recovered. The reporting physician considered the events to be disabling as the patient was unable to participate in ballet or dancing classes. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275631&WAYBACKHISTORY=ON


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