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This is VAERS ID 302324

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 302324
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 0 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: we were instructed to log symptoms for 1 month.when examined her regular dr. was unavailable so she was seen by a Dr.Yost, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fa
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously,experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity(her teacher reported that she was shaking). She continues to have frequent"headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 12/8/2009

VAERS ID: 302324 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (NO BRAND NAME) INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 0 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: we were instructed to log symptoms for 1 month.when examined her regular dr. was unavailable so she was seen by a Dr.Yost, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fa
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously,experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity(her teacher reported that she was shaking). She continues to have frequent"headaches, frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 4/11/2012

VAERS ID: 302324 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 0 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: we We were instructed to log symptoms for 1 month.when month. When examined her regular dr. Dr. was unavailable so she was seen by a Dr.Yost, another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fa fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously,experienced simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity(her activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 7/7/2013

VAERS ID: 302324 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 0 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 12/14/2016

VAERS ID: 302324 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 0 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 9/14/2017

VAERS ID: 302324 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 0 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 2/14/2018

VAERS ID: 302324 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 6/14/2018

VAERS ID: 302324 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 8/14/2018

VAERS ID: 302324 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.


Changed on 9/14/2018

VAERS ID: 302324 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-10-30
Onset:2007-11-23
Submitted:2008-01-10
Entered:2008-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER GARDASIL ?? / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anxiety, Convulsion, Dizziness, Headache, Nausea, Syncope, Visual disturbance, Ultrasound abdomen

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: We were instructed to log symptoms for 1 month. When examined her regular Dr. was unavailable so she was seen by another doctor, who insisted that the symptoms had no relation to the injection and stated that she probably hit her head when she fainted (which was denied by the teacher that witnessed the syncopal episode). Because patient was having abdominal pain the day of the exam on 1/3/08, Dr. ordered an abdominal sonogram and told her to drink more water for the headaches.
CDC 'Split Type':

Write-up: 24 days after having the flu shot and Gardasil vaccine simultaneously, experienced an episode of nausea, dizziness, severe headache, seeing black spots, fainted and seizure activity (her teacher reported that she was shaking). She continues to have frequent headaches, nausea and occassional dizziness, & anxiety over the above.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=302324&WAYBACKHISTORY=ON


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