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This is VAERS ID 286564

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 286564
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977.


Changed on 12/8/2009

VAERS ID: 286564 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased, Carbon dioxide increased, Diabetes mellitus insulin-dependent, Dry mouth, Nausea, Nocturia, Polydipsia, Polyuria, Urine osmolarity increased, Vision blurred, Vomiting, Weight decreased, Neutrophil percentage increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting.


Changed on 1/5/2010

VAERS ID: 286564 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased, Carbon dioxide increased, Diabetes mellitus insulin-dependent, Dry mouth, Nausea, Nocturia, Polydipsia, Polyuria, Urine osmolarity increased, Vision blurred, Vomiting, Weight decreased, Neutrophil percentage increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.


Changed on 4/13/2011

VAERS ID: 286564 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased, Carbon dioxide increased, Diabetes mellitus insulin-dependent, Dry mouth, Nausea, Nocturia, Polydipsia, Polyuria, Urine osmolarity increased, Vision blurred, Vomiting, Weight decreased, Neutrophil percentage increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.


Changed on 5/13/2011

VAERS ID: 286564 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased, Carbon dioxide increased, Diabetes mellitus insulin-dependent, Dry mouth, Nausea, Nocturia, Polydipsia, Polyuria, Urine osmolarity increased, Vision blurred, Vomiting, Weight decreased, Neutrophil percentage increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.


Changed on 6/11/2011

VAERS ID: 286564 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased, Carbon dioxide increased, Diabetes mellitus insulin-dependent, Dry mouth, Nausea, Nocturia, Polydipsia, Polyuria, Urine osmolarity increased, Vision blurred, Vomiting, Weight decreased, Neutrophil percentage increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.


Changed on 2/14/2017

VAERS ID: 286564 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-07-05
Onset:2007-07-13
Submitted:2007-08-02
Entered:2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased, Carbon dioxide increased, Diabetes mellitus insulin-dependent, Dry mouth, Nausea, Nocturia, Polydipsia, Polyuria, Urine osmolarity increased, Vision blurred, Vomiting, Weight decreased, Neutrophil percentage increased

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: glucose - 977 records received 8/30/07-WBC 10.5. Segs 85. Postassium 5.6. carbon dioxide 18.9. Anion Gap of 33, Phosporus 6.6. osmolality of 322. Blood sugar greater than 900.
CDC 'Split Type':

Write-up:Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977. 8/30/07-records received-for DOS 7/13-7/15/07- DC DX: Diabetic ketoacidosis resolved. Type I diabetes new onset. Dehydration resolved. Hyperkalemia, resolved. Two week history of polyuria, polydipsia, nocturia, dry mouth and blurry vision, 12 pound weight loss for the last month or so. in ED blood sugar over 1000. C/O not feeling well, weak, decreased appetite, nausea and vomiting. 1/11/2010 Patient has type I DM.


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