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This is VAERS ID 324475

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

324475
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and"audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08.


Changed on 12/8/2009

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''''s child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and"audiological and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL.


Changed on 1/5/2010

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


Changed on 4/13/2011

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


Changed on 5/13/2011

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


Changed on 6/11/2011

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


Changed on 6/14/2014

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


Changed on 4/14/2017

324475 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Audiogram abnormal, Blood thyroid stimulating hormone increased, Computerised tomogram normal, Deafness, Deafness neurosensory, Tinnitus, Tympanometry normal

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


Changed on 9/14/2017

324475 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Florida
Vaccinated:2007-06-04
Onset:2008-06-01
Submitted:2008-09-06
Entered:2008-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 2 3 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Deafness neurosensory

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: None
Current Illness: None
Preexisting Conditions: None. PMH: none noted
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: Audiogram-fail. Audiologic eval c/w sensorineural hearing loss with abnormal DPOAS, normal typanograms. CT Temporal bones unremarkable. TSH 6.616.
CDC 'Split Type':

Write-up:Previously undiagnosed, sensorineural hearing loss - symmetric. Specialist thinks pattern is consistent with congenital insert, however, mom feels child''s hearing was excellent before Gardasil series. 09/10/2008 PCP records received including 2 ENT and audiological evals with DX: Sensorineural hearing loss-symmetric. Deafness. WCC 6/4/07 with normal exam. RTO 7/2/08 with c/o hearing problems after failing school hearing test. Did not pass audiogram given in office. Refered to ENT. ENT visit 7/15/08. Pt states first noticed a change in hearing approx 2 yrs ago. Occasional ringing in ears. ENT PE WNL. 1/26/2010 Had hearing loss-possibly due to GARDASIl hearing has not recovered.


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