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This is VAERS ID 284624

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284624
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-05
Onset:2007-06-07
Submitted:2007-07-12
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Tic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: ADHD
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Simple motor tic- shrugging shoulder, persistent x 1 month, 1st noted approximately 2d after Gardasil vaccine.


Changed on 12/8/2009

VAERS ID: 284624 Before After
Age:12.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-05
Onset:2007-06-07
Submitted:2007-07-12
Entered:2007-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Tic

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: ADHD
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Simple motor tic- shrugging shoulder, persistent x 1 month, 1st noted approximately 2d after Gardasil vaccine.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284624&WAYBACKHISTORY=ON


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