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This is VAERS ID 323263

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 323263
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-11-06
Onset:2008-08-18
Submitted:2008-08-25
Entered:2008-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Abdominal pain upper, Arthralgia, Activities of daily living impaired, Antinuclear antibody positive

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance - brain; upper extremity X-ray; laboratory test 10/22/08-records received-CBC and chemistry WNL. 12/31/08-records received-Complement C3, C4, CK, metabolic panel , CBC, sed rate, C-reactive protein normal, rheumatoid f
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning a 15 year old female with allergy to CEFZIL and no relevant medical history who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, injection site and route not repor"ted). In November 2007, the patient experienced headaches, stomach ache, dizziness, shakiness, dull and sharp aches all over. The patient also experienced joint pain all over, swelling of the right thumb, depression and insomnia. The patient had been set


Changed on 12/8/2009

VAERS ID: 323263 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-11-06
Onset:2008-08-18
Submitted:2008-08-25
Entered:2008-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Abdominal pain upper, Arthralgia, Back pain, C-reactive protein normal, Depression, Dizziness, Full blood count normal, Gastritis, Headache, Insomnia, Myalgia, Nuclear magnetic resonance imaging brain, Oedema peripheral, Pain, Pain in extremity, Tremor, Vitamin D deficiency, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Activities of daily living impaired, Complement factor C3, Complement factor C4, Laboratory test normal, Antinuclear antibody positive, Complement factor normal, X-ray limb

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance - brain; upper extremity X-ray; laboratory test 10/22/08-records received-CBC and chemistry WNL. 12/31/08-records received-Complement C3, C4, CK, metabolic panel , CBC, sed rate, C-reactive protein normal, rheumatoid f
CDC 'Split Type': (blank) WAES0808USA03971

Write-up:Information has been received from a medical assistant concerning a 15 year old female with allergy to CEFZIL and no relevant medical history who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, injection site and route not repor"ted). reported). In November 2007, the patient experienced headaches, stomach ache, dizziness, shakiness, dull and sharp aches all over. The patient also experienced joint pain all over, swelling of the right thumb, depression and insomnia. The patient had been set up with an appointment with a rheumatologist. Laboratory tests (included unspecified lab work, MRI of brain and X-ray of right hand (results unspecified). At time of this report, the patient''s events persisted. According to the reporter, the patient''s events prevented her from school schedule and were considered to be disabling. Additional information has been requested. 10/22/08-records received-presented on 8/8/08 with C/O headache,stomach ache, dizzy and shaking on and off for a while. Generalized pain. Abdominal pain. DX gastritis. Dizziness. 8/18/08 continues with C/O headaches and body aches. DX: arthrlagias, polymyalgias. Swelling of right thumb. Cephalgia. Dep ression. Insomnia. 9/3/08 continues with cephalgia, myalgias and depression.10/1/08-C/O abdominal pain. 12/31/08-records received for DOS 11/10/08-C/O arthralgia/back pain left limb pain. Vitamin D deficiency.


Changed on 2/14/2017

VAERS ID: 323263 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-11-06
Onset:2008-08-18
Submitted:2008-08-25
Entered:2008-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Abdominal pain upper, Arthralgia, Back pain, C-reactive protein normal, Depression, Dizziness, Full blood count normal, Gastritis, Headache, Insomnia, Myalgia, Nuclear magnetic resonance imaging brain, Oedema peripheral, Pain, Pain in extremity, Tremor, Vitamin D deficiency, Rheumatoid factor negative, Red blood cell sedimentation rate normal, Activities of daily living impaired, Complement factor C3, Complement factor C4, Laboratory test normal, Antinuclear antibody positive, Complement factor normal, X-ray limb

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: magnetic resonance - brain; upper extremity X-ray; laboratory test 10/22/08-records received-CBC and chemistry WNL. 12/31/08-records received-Complement C3, C4, CK, metabolic panel , CBC, sed rate, C-reactive protein normal, rheumatoid f factor negative, ANA positive. Vitamin D deficiency.
CDC 'Split Type': WAES0808USA03971

Write-up:Information has been received from a medical assistant concerning a 15 year old female with allergy to CEFZIL and no relevant medical history who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, injection site and route not reported). In November 2007, the patient experienced headaches, stomach ache, dizziness, shakiness, dull and sharp aches all over. The patient also experienced joint pain all over, swelling of the right thumb, depression and insomnia. The patient had been set up with an appointment with a rheumatologist. Laboratory tests (included unspecified lab work, MRI of brain and X-ray of right hand (results unspecified). At time of this report, the patient''s events persisted. According to the reporter, the patient''s events prevented her from school schedule and were considered to be disabling. Additional information has been requested. 10/22/08-records received-presented on 8/8/08 with C/O headache,stomach ache, dizzy and shaking on and off for a while. Generalized pain. Abdominal pain. DX gastritis. Dizziness. 8/18/08 continues with C/O headaches and body aches. DX: arthrlagias, polymyalgias. Swelling of right thumb. Cephalgia. Dep ression. Insomnia. 9/3/08 continues with cephalgia, myalgias and depression.10/1/08-C/O abdominal pain. 12/31/08-records received for DOS 11/10/08-C/O arthralgia/back pain left limb pain. Vitamin D deficiency.


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