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This is VAERS ID 321620

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

321620
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2007-07-13
Onset:0000-00-00
Submitted:2008-08-07
Entered:2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Irritable bowel syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA00912

Write-up:Information has been received from a health authority (ref # ADR 20289066) concerning a 13 year old female who on 13-JUL-2007 and 03-SEP-2007 was vaccinated with a dose of GARDASIL, (batch # not reported), intramuscularly (IM). On an unreported date, post vaccination, the experienced irritable bowel syndrome and subsequent anaemia. The patient outcome was unknown. It was reported that the patient''s mother suspected a connection. The reporter considered the events to involve perisitent of significant disability or incapacilty. Other business partner numbers E2008-07404. Additional information has been requested.


Changed on 9/14/2017

321620 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2007-07-13
Onset:0000-00-00
Submitted:2008-08-07
Entered:2008-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaemia, Irritable bowel syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0808USA00912

Write-up:Information has been received from a health authority (ref # ADR 20289066) concerning a 13 year old female who on 13-JUL-2007 and 03-SEP-2007 was vaccinated with a dose of GARDASIL, (batch # not reported), intramuscularly (IM). On an unreported date, post vaccination, the experienced irritable bowel syndrome and subsequent anaemia. The patient outcome was unknown. It was reported that the patient''s mother suspected a connection. The reporter considered the events to involve perisitent of significant disability or incapacilty. Other business partner numbers E2008-07404. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=321620&WAYBACKHISTORY=ON


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