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This is VAERS ID 278063

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278063
VAERS Form:
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-09
Onset:2007-03-06
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time shortened, Back pain, Chest pain, Chest X-ray, Computerised tomogram thorax abnormal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Birth control pills
Current Illness: none
Preexisting Conditions: none. PMH: Recent travel with 2 flights x 3hrs. On BCP.
Allergies:
Diagnostic Lab Data: See hospital records. Labs and Diagnostics: CT chest 3/19/07 showed bilateral pulmonary emboli and consolidation in the RLL. Possible necrosis in the middle of the RLL. CXR 3/20/07 shows some improvement. CBC showed WBC of 14.7 INR 1.01
CDC 'Split Type':

Write-up:Traveled from 3/3/07-3/10/07. On 3/6/07 had calf pain that traveled to the thigh. On 3/19/07, went to Medical Center ER for severe pain in lower back. Two large clots found in lung (pulmonary embolus). Admitted for heparin treatment for a few days. Discha"rged on Coumadin for 6 months. Has lingering pain in lower back and damage to the lung. Had started taking BCP''''s for the first time in approx. Feb. 0f 2007. Had genetic testing done after the pulmonary embolus which showed that she has a prothrombin gene


Changed on 12/8/2009

278063 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-09
Onset:2007-03-06
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time shortened, Back pain, Chest pain, Chest X-ray, Dyspnoea, Flank pain, Full blood count, International normalised ratio, Musculoskeletal pain, Pain in extremity, Pulmonary embolism, Pulmonary infarction, White blood cell count increased, Homocystinaemia, Computerised tomogram thorax abnormal, Hyperlipidaemia, Gene mutation identification test positive

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes 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: Birth control pills
Current Illness: none
Preexisting Conditions: none. PMH: Recent travel with 2 flights x 3hrs. On BCP.
Allergies:
Diagnostic Lab Data: See hospital records. Labs and Diagnostics: CT chest 3/19/07 showed bilateral pulmonary emboli and consolidation in the RLL. Possible necrosis in the middle of the RLL. CXR 3/20/07 shows some improvement. CBC showed WBC of 14.7 INR 1.01
CDC 'Split Type':

Write-up:Traveled from 3/3/07-3/10/07. On 3/6/07 had calf pain that traveled to the thigh. On 3/19/07, went to Medical Center ER for severe pain in lower back. Two large clots found in lung (pulmonary embolus). Admitted for heparin treatment for a few days. Discha"rged Discharged on Coumadin for 6 months. Has lingering pain in lower back and damage to the lung. Had started taking BCP''''s BCP''s for the first time in approx. Feb. 0f 2007. Had genetic testing done after the pulmonary embolus which showed that she has a prothrombin gene genetic mutation, elevated lipoprotein and hemocystine line. 05/21/2007 MR received form treating hospital. Initially presented to ED on 3/19/2007 with c/o Right back pain which was worse upon lying down, as well as pain in chest which was worse with deep breathing. The pain radiated to the Right shoulder. Had been having some Right leg discomfort while traveling prior to ED visit PMH: Recent travel with 2 flights x 3hrs. On BCP. Admitted with the following DX: LBP, R Flank pain, Pulmonary Embolism, Pulmonary Infarct. Pulmonary Critical Care consult with DX; Pulmonary Embolism and Infarct. Pt. returned to ER on 3/25/07 with c/o calf pain since that morning. Still c/o SOB x 1 week. DX: Calf pain.


Changed on 5/14/2017

278063 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-09
Onset:2007-03-06
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Activated partial thromboplastin time shortened, Back pain, Chest pain, Chest X-ray, Dyspnoea, Flank pain, Full blood count, International normalised ratio, Musculoskeletal pain, Pain in extremity, Pulmonary embolism, Pulmonary infarction, White blood cell count increased, Homocystinaemia, Computerised tomogram thorax abnormal, Hyperlipidaemia, Gene mutation identification test positive

Life Threatening? Yes
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: Birth control pills
Current Illness: none
Preexisting Conditions: none. PMH: Recent travel with 2 flights x 3hrs. On BCP.
Allergies:
Diagnostic Lab Data: See hospital records. Labs and Diagnostics: CT chest 3/19/07 showed bilateral pulmonary emboli and consolidation in the RLL. Possible necrosis in the middle of the RLL. CXR 3/20/07 shows some improvement. CBC showed WBC of 14.7 INR 1.01 1.01. PTT 27.
CDC 'Split Type':

Write-up:Traveled from 3/3/07-3/10/07. On 3/6/07 had calf pain that traveled to the thigh. On 3/19/07, went to Medical Center ER for severe pain in lower back. Two large clots found in lung (pulmonary embolus). Admitted for heparin treatment for a few days. Discharged on Coumadin for 6 months. Has lingering pain in lower back and damage to the lung. Had started taking BCP''s for the first time in approx. Feb. 0f 2007. Had genetic testing done after the pulmonary embolus which showed that she has a prothrombin genetic mutation, elevated lipoprotein and hemocystine line. 05/21/2007 MR received form treating hospital. Initially presented to ED on 3/19/2007 with c/o Right back pain which was worse upon lying down, as well as pain in chest which was worse with deep breathing. The pain radiated to the Right shoulder. Had been having some Right leg discomfort while traveling prior to ED visit PMH: Recent travel with 2 flights x 3hrs. On BCP. Admitted with the following DX: LBP, R Flank pain, Pulmonary Embolism, Pulmonary Infarct. Pulmonary Critical Care consult with DX; Pulmonary Embolism and Infarct. Pt. returned to ER on 3/25/07 with c/o calf pain since that morning. Still c/o SOB x 1 week. DX: Calf pain.


Changed on 9/14/2017

278063 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-09
Onset:2007-03-06
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Back pain, Pain in extremity, Pulmonary embolism, Homocystinaemia, Hyperlipidaemia, Gene mutation identification test positive

Life Threatening? Yes
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: Birth control pills
Current Illness: none
Preexisting Conditions: none. PMH: Recent travel with 2 flights x 3hrs. On BCP.
Allergies:
Diagnostic Lab Data: See hospital records. Labs and Diagnostics: CT chest 3/19/07 showed bilateral pulmonary emboli and consolidation in the RLL. Possible necrosis in the middle of the RLL. CXR 3/20/07 shows some improvement. CBC showed WBC of 14.7 INR 1.01. PTT 27.
CDC 'Split Type':

Write-up:Traveled from 3/3/07-3/10/07. On 3/6/07 had calf pain that traveled to the thigh. On 3/19/07, went to Medical Center ER for severe pain in lower back. Two large clots found in lung (pulmonary embolus). Admitted for heparin treatment for a few days. Discharged on Coumadin for 6 months. Has lingering pain in lower back and damage to the lung. Had started taking BCP''s for the first time in approx. Feb. 0f 2007. Had genetic testing done after the pulmonary embolus which showed that she has a prothrombin genetic mutation, elevated lipoprotein and hemocystine line. 05/21/2007 MR received form treating hospital. Initially presented to ED on 3/19/2007 with c/o Right back pain which was worse upon lying down, as well as pain in chest which was worse with deep breathing. The pain radiated to the Right shoulder. Had been having some Right leg discomfort while traveling prior to ED visit PMH: Recent travel with 2 flights x 3hrs. On BCP. Admitted with the following DX: LBP, R Flank pain, Pulmonary Embolism, Pulmonary Infarct. Pulmonary Critical Care consult with DX; Pulmonary Embolism and Infarct. Pt. returned to ER on 3/25/07 with c/o calf pain since that morning. Still c/o SOB x 1 week. DX: Calf pain.


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