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This is VAERS ID 313383

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

313383
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-07-27
Onset:2007-08-01
Submitted:2008-05-23
Entered:2008-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain lower, Anaemia, Colitis, Colitis ulcerative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None 6/20/08-records received-Thyroglossal dut cyst status post repair. Minimal GER. Postive ANCA 34.1.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 01/04?/08, anemia 6/20/08-records received-KUB WNL. CBC and chemistry WNL. Endoscopy:Moderate pancolitis.
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 14 year old female patient with no medical history or drug allergies reported, who on 27-JUL-2007, 02-SEP-2007 and 06-FEB-2008 (3rd dose also reported as 27-JUL-2008 administered intramuscularly)"was vaccinated with the first, second and third doses of GARDASIL, respectively. There was no concomitant medication. In August 2007, after the physician reviewed the patient''''s past medical history, he noticed that the patient experienced bloody stools


Changed on 12/8/2009

313383 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-07-27
Onset:2007-08-01
Submitted:2008-05-23
Entered:2008-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Abdominal pain lower, Anaemia, Colitis, Colitis ulcerative, Fatigue, Full blood count normal, Haematochezia, Laboratory test abnormal, Urinary system X-ray, Vomiting, Laboratory test normal, Endoscopy abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None 6/20/08-records received-Thyroglossal dut cyst status post repair. Minimal GER. Postive ANCA 34.1.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 01/04?/08, anemia 6/20/08-records received-KUB WNL. CBC and chemistry WNL. Endoscopy:Moderate pancolitis.
CDC 'Split Type': (blank) WAES0805USA03813

Write-up:Information has been received from a physician concerning a 14 year old female patient with no medical history or drug allergies reported, who on 27-JUL-2007, 02-SEP-2007 and 06-FEB-2008 (3rd dose also reported as 27-JUL-2008 administered intramuscularly)"was intramuscularly) was vaccinated with the first, second and third doses of GARDASIL, respectively. There was no concomitant medication. In August 2007, after the physician reviewed the patient''''s patient''s past medical history, he noticed that the patient experienced bloody stools in the beginning of August 2007 after her first dose of GARDASIL. On 04-JAN-2008 the patient saw her physician and stated that she was experiencing constant fatigue and tiredness. A blood test was taken and showed that the patient was anemic. The patient was diagnosed with ulcerative colitis and was hospitalized on 08-MAY-2008 (the number of days spent in the hospital were unspecified). At the time of this report the patient has not recovered. No product quality complaint was involved. Ulcerative colitis was considered to be disabling. Additional information has been requested. 6/20/08-records received for DOS 5/7-5/12/08-DC DX:Ulcerative colitis. Blood in stools. Admitted for a flare with worsening bloody stools and crampy lower abdominal pain over past 2-3 weeks.Emesis, diminished urine output. Diagnosed with ulcerative colitis 2/08. Began having blood in stool in 7/07, hid her symptoms, determine to be anemic.


Changed on 4/14/2017

313383 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-07-27
Onset:2007-08-01
Submitted:2008-05-23
Entered:2008-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal pain lower, Anaemia, Colitis, Colitis ulcerative, Fatigue, Full blood count normal, Haematochezia, Laboratory test abnormal, Urinary system X-ray, Vomiting, Laboratory test normal, Endoscopy abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None 6/20/08-records received-Thyroglossal dut cyst status post repair. Minimal GER. Postive ANCA 34.1.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 01/04?/08, anemia 6/20/08-records received-KUB WNL. CBC and chemistry WNL. Endoscopy:Moderate pancolitis.
CDC 'Split Type': WAES0805USA03813

Write-up:Information has been received from a physician concerning a 14 year old female patient with no medical history or drug allergies reported, who on 27-JUL-2007, 02-SEP-2007 and 06-FEB-2008 (3rd dose also reported as 27-JUL-2008 administered intramuscularly) was vaccinated with the first, second and third doses of GARDASIL, respectively. There was no concomitant medication. In August 2007, after the physician reviewed the patient''s past medical history, he noticed that the patient experienced bloody stools in the beginning of August 2007 after her first dose of GARDASIL. On 04-JAN-2008 the patient saw her physician and stated that she was experiencing constant fatigue and tiredness. A blood test was taken and showed that the patient was anemic. The patient was diagnosed with ulcerative colitis and was hospitalized on 08-MAY-2008 (the number of days spent in the hospital were unspecified). At the time of this report the patient has not recovered. No product quality complaint was involved. Ulcerative colitis was considered to be disabling. Additional information has been requested. 6/20/08-records received for DOS 5/7-5/12/08-DC DX:Ulcerative colitis. Blood in stools. Admitted for a flare with worsening bloody stools and crampy lower abdominal pain over past 2-3 weeks.Emesis, diminished urine output. Diagnosed with ulcerative colitis 2/08. Began having blood in stool in 7/07, hid her symptoms, determine to be anemic.


Changed on 9/14/2017

313383 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-07-27
Onset:2007-08-01
Submitted:2008-05-23
Entered:2008-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0927U / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Anaemia, Colitis ulcerative, Fatigue, Haematochezia, Laboratory test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None 6/20/08-records received-Thyroglossal dut cyst status post repair. Minimal GER. Postive ANCA 34.1.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 01/04?/08, anemia 6/20/08-records received-KUB WNL. CBC and chemistry WNL. Endoscopy:Moderate pancolitis.
CDC 'Split Type': WAES0805USA03813

Write-up:Information has been received from a physician concerning a 14 year old female patient with no medical history or drug allergies reported, who on 27-JUL-2007, 02-SEP-2007 and 06-FEB-2008 (3rd dose also reported as 27-JUL-2008 administered intramuscularly) was vaccinated with the first, second and third doses of GARDASIL, respectively. There was no concomitant medication. In August 2007, after the physician reviewed the patient''s past medical history, he noticed that the patient experienced bloody stools in the beginning of August 2007 after her first dose of GARDASIL. On 04-JAN-2008 the patient saw her physician and stated that she was experiencing constant fatigue and tiredness. A blood test was taken and showed that the patient was anemic. The patient was diagnosed with ulcerative colitis and was hospitalized on 08-MAY-2008 (the number of days spent in the hospital were unspecified). At the time of this report the patient has not recovered. No product quality complaint was involved. Ulcerative colitis was considered to be disabling. Additional information has been requested. 6/20/08-records received for DOS 5/7-5/12/08-DC DX:Ulcerative colitis. Blood in stools. Admitted for a flare with worsening bloody stools and crampy lower abdominal pain over past 2-3 weeks.Emesis, diminished urine output. Diagnosed with ulcerative colitis 2/08. Began having blood in stool in 7/07, hid her symptoms, determine to be anemic.


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