National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 321693

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

321693
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chron"ic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pa


Changed on 12/8/2009

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Asthma, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chron"ic chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pa pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx.


Changed on 1/5/2010

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Asthma, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many l


Changed on 8/31/2010

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Asthenia, Asthma, Chills, Dizziness, Fatigue, Loss of consciousness, Malaise, Pain, Pharyngolaryngeal pain, Vomiting, Fibromyalgia, Sinus disorder, Tooth fracture, Oropharyngeal pain

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many l


Changed on 1/4/2011

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Asthenia, Asthma, Chills, Dizziness, Fatigue, Loss of consciousness, Malaise, Pain, Pharyngolaryngeal pain, Vomiting, Fibromyalgia, Sinus disorder, Tooth fracture, Oropharyngeal pain

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many l life changing actions.


Changed on 4/13/2011

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


Changed on 5/13/2011

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


Changed on 6/11/2011

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


Changed on 6/14/2014

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


Changed on 4/14/2017

321693 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Amnesia, Arthralgia, Asthenia, Back pain, Chills, Computerised tomogram normal, Convulsion, Croup infectious, Dizziness, Drop attacks, Electrocardiogram normal, Electroencephalogram normal, Fatigue, Full blood count normal, Head injury, Headache, Hyperreflexia, Insomnia, Laceration, Loss of consciousness, Lymphadenopathy, Malaise, Mononucleosis heterophile test negative, Myalgia, Myositis, Nausea, Neck pain, Pain, Pharyngitis, Pharyngolaryngeal pain, Psychotherapy, Syncope, Vomiting, Fibromyalgia, Musculoskeletal stiffness, Pain management, Feeling of body temperature change, Scan brain, Sinus disorder, Tooth fracture

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


Changed on 9/14/2017

321693 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Kentucky
Vaccinated:2006-11-24
Onset:2007-01-02
Submitted:2008-08-10
Entered:2008-08-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688 / 1 2 LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Asthenia, Chills, Dizziness, Fatigue, Loss of consciousness, Malaise, Pain, Pharyngolaryngeal pain, Vomiting, Fibromyalgia, Sinus disorder

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? No
Previous Vaccinations:
Other Medications: amitriptyline, zyrtec, yaz 3-0, r-tanna, singulair, mucinex, sudafed, albuterol
Current Illness:
Preexisting Conditions: allegy to penicillins and sulfa antibiotics. No birth defects. Exercise induced asthma. PMH: PCOS, Acne, dysmenorrhea. Allergic to PCN, sulfa
Allergies:
Diagnostic Lab Data: Multiple performed from 2/07 through 3/08 by pediatrics and specialists. Labs and Diagnostics: Monospot (-). CBC WNL. EEG WNL. EKG WNL. Head CT WNL.
CDC 'Split Type':

Write-up:Had asthma. HPV shots (9/23/06, 11/24/06, 7/5/07). 1/07 tired, chills, dizzy, stomach ache, sick for one week saw doctor. Addtional appts for body ache, dizzy, vomitting, no energy through 2/07. 3/07 exhausted, sore throat, body aches, sinus. 5/07 chronic fatigue & referred to specialist. 7/26/07 specialist diagnosed fibromyalgia. 9/06 - 2/08 had 13 medical appts. 3/08 passed out in shower, possibly from medication, emergency room treatment. Through 7/08, multiple specialist appts for treatment and pain management. 08/21/2008 MR received from PCP. Seen 11/24/06 for HPV#2. Asymptomatic at that time. Frequent OVs beginning 2/9/07 with c/o feeling sick x 1 week-dizzy, H/A, belly pain, tired, chills-hot and cold, nausea, vomited x 2. PE (+) for exudate on tonsils, swollen lymph nodes in neck. Assessment: Fatigue. Seen again 2/15, 2/21, 2/27 for same sx. Assessment: Chronic Fatigue, Achiness. Myositis. OV 3/22/07 with c/o sore throat. Hyperreflexia noted on exam. Assessment: Healing myositis, r/o Guillain Barre. H/A, Tiredness. Pharyngitis. Seen 5/9 now dx CFS 2'' to post-viral. R/O Fibromyalgia/COD. WCC 7/5/07 with HPV#3. Seen 3/18/08 in f/u to ER for passing out in shower with head trauma/chipped teeth. 4 episodes that day. Lacerations to chin, knee, head. Dx: Syncope. F/u 3/20/08 feeling exhausted, sore w/ H/A. 5/6/08 Dx: Croup, Pharyngitis. 7/3/08 WCC Dx: Fibromyalgia. 11/13/08 Consultant records received from Rheum. First seen in June 2007 and dx with fibromyalgia. OV 2/13/08 with report of worsening sx of malaise, fatigue, difficulty sleeping and H/A. PE (+) for joint pain, back pain, myalgias, neck pain, morning stiffness. Seeing Pain Mgmt and psych for CBT. Seen 4/17/08 in f/u for drop seizure, preceded by nausea and followed by amnesia of event, ?2'' to Elavil. Reports muscle pain and daily occipitoparietal band-like H/A. OV 7/30/08 with improving sx. 1/26/2010 Headaches, body pain, physical weakness, loss of stamina. These symptoms are ongoing and have resulted in patient making many life changing actions.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=321693&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166