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This is VAERS ID 276631

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276631
VAERS Form:
Age:18.0
Gender:Female
Location:Washington
Vaccinated:2007-02-12
Onset:2007-03-08
Submitted:2007-04-17
Entered:2007-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01860 / 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin, Synthroid
Current Illness: none
Preexisting Conditions: IDDM, Hypothyroidism x 8yrs
Allergies:
Diagnostic Lab Data: CT/MRI normal, EEG normal
CDC 'Split Type':

Write-up: Gardasil #1 12/12/06, Gardasil #2 2/12/07 New onset seizures on 3/8/07 and 3/9/07 (non-hypoglycemic0


Changed on 12/8/2009

VAERS ID: 276631 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Washington
Vaccinated:2007-02-12
Onset:2007-03-08
Submitted:2007-04-17
Entered:2007-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01860 / 1 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin, Synthroid
Current Illness: none
Preexisting Conditions: IDDM, Hypothyroidism x 8yrs
Allergies:
Diagnostic Lab Data: CT/MRI normal, EEG normal
CDC 'Split Type':

Write-up: Gardasil #1 12/12/06, Gardasil #2 2/12/07 New onset seizures on 3/8/07 and 3/9/07 (non-hypoglycemic0


Changed on 9/14/2017

VAERS ID: 276631 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Washington
Vaccinated:2007-02-12
Onset:2007-03-08
Submitted:2007-04-17
Entered:2007-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01860 / 1 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin, Synthroid
Current Illness: none
Preexisting Conditions: IDDM, Hypothyroidism x 8yrs
Allergies:
Diagnostic Lab Data: CT/MRI normal, EEG normal
CDC 'Split Type':

Write-up: Gardasil #1 12/12/06, Gardasil #2 2/12/07 New onset seizures on 3/8/07 and 3/9/07 (non-hypoglycemic0


Changed on 2/14/2018

VAERS ID: 276631 Before After
VAERS Form:1
Age:18.0
Gender:Female
Location:Washington
Vaccinated:2007-02-12
Onset:2007-03-08
Submitted:2007-04-17
Entered:2007-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01860 / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin, Synthroid
Current Illness: none
Preexisting Conditions: IDDM, Hypothyroidism x 8yrs
Allergies:
Diagnostic Lab Data: CT/MRI normal, EEG normal
CDC 'Split Type':

Write-up: Gardasil #1 12/12/06, Gardasil #2 2/12/07 New onset seizures on 3/8/07 and 3/9/07 (non-hypoglycemic0


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276631&WAYBACKHISTORY=ON


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