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This is VAERS ID 324292

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 324292
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 give
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for s"tatus check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain.


Changed on 12/8/2009

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 give given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for s"tatus status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain.


Changed on 1/5/2010

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


Changed on 4/13/2011

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


Changed on 5/13/2011

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


Changed on 6/11/2011

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


Changed on 7/7/2013

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


Changed on 4/14/2017

VAERS ID: 324292 Before After
Age:15.0
Gender:Female
Location:Delaware
Vaccinated:2007-11-19
Onset:2007-11-20
Submitted:2008-08-29
Entered:2008-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Lethargy, Malaise, Ophthalmological examination normal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC 'Split Type':

Write-up:Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


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