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This is VAERS ID 331436

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 331436
Age:14.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-08
Onset:2007-05-09
Submitted:2008-11-05
Entered:2008-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0 / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody negative, Antiphospholipid antibodies negative, Blood test, Bone scan normal, Complex regional pain syndrome

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 12     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: She has had MRI''''s, CAT scans, ultrasounds, blood tests, etc at Hospital, other Hospital and Medical center 11/17/08-records received-MRI T2 abnormalities seen at trigone of left lateral ventricle. Could represent gliosis. Phospholipid anti
CDC 'Split Type':

Write-up:my daughter was perfectly healthly before she received the HPV vaccine - now she has severe migraine headaches, Reflex Sympathetic Dystrophy Syndrome, bladder and kidney infections, etc. records received 11/17/08-clinic notes for 6/17/08 C/O constant righ"t sided temporal pain radiating throughout scalp abrupt onset 9/7/07 with Bell''''s palsy-at time of HPV4 vaccine and second dose of progesterone for irregular menses. Impression probably history of autoimmune induced peripheral facial weakness as well as n


Changed on 12/8/2009

VAERS ID: 331436 Before After
Age:14.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-08
Onset:2007-05-09
Submitted:2008-11-05
Entered:2008-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0 / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody negative, Computerised tomogram, Cystitis, Facial palsy, Kidney infection, Menstruation irregular, Migraine, Neuralgia, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging brain normal, X-ray normal, Red blood cell sedimentation rate normal, Ultrasound pelvis, Antiphospholipid antibodies negative, Blood test, Bone scan normal, Complex regional pain syndrome

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 12     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: She has had MRI''''s, MRI''s, CAT scans, ultrasounds, blood tests, etc at Hospital, other Hospital and Medical center 11/17/08-records received-MRI T2 abnormalities seen at trigone of left lateral ventricle. Could represent gliosis. Phospholipid anti
CDC 'Split Type':

Write-up:my daughter was perfectly healthly before she received the HPV vaccine - now she has severe migraine headaches, Reflex Sympathetic Dystrophy Syndrome, bladder and kidney infections, etc. records received 11/17/08-clinic notes for 6/17/08 C/O constant righ"t right sided temporal pain radiating throughout scalp abrupt onset 9/7/07 with Bell''''s Bell''s palsy-at time of HPV4 vaccine and second dose of progesterone for irregular menses. Impression probably history of autoimmune induced peripheral facial weakness as well as n new onset of neuralgic pain. clinic notes for DOS 9/8/08-right sided posterior occipital and temporal pain since an episode of idiopathic Bell''s palsy. Pain now less. Increased neck pain now.


Changed on 4/14/2017

VAERS ID: 331436 Before After
Age:14.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-08
Onset:2007-05-09
Submitted:2008-11-05
Entered:2008-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0 / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody negative, Computerised tomogram, Cystitis, Facial palsy, Kidney infection, Menstruation irregular, Migraine, Neuralgia, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging brain normal, X-ray normal, Red blood cell sedimentation rate normal, Ultrasound pelvis, Antiphospholipid antibodies negative, Blood test, Bone scan normal, Complex regional pain syndrome

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 12     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: She has had MRI''s, CAT scans, ultrasounds, blood tests, etc at Hospital, other Hospital and Medical center 11/17/08-records received-MRI T2 abnormalities seen at trigone of left lateral ventricle. Could represent gliosis. Phospholipid anti antibodies negative. 12/19/08-MRI of brain report received for 2/11/08-singular nonspecific small focus of T2 hyperintensity in the periventricular white matter lateral to atrium of left lateral ventricle. MRA normal. Nuclear medicine bone scan normal. US of pelvis right ovarian follicle. X-rays normal. ANA negative. Sed rate normal.
CDC 'Split Type':

Write-up:my daughter was perfectly healthly before she received the HPV vaccine - now she has severe migraine headaches, Reflex Sympathetic Dystrophy Syndrome, bladder and kidney infections, etc. records received 11/17/08-clinic notes for 6/17/08 C/O constant right sided temporal pain radiating throughout scalp abrupt onset 9/7/07 with Bell''s Bell's palsy-at time of HPV4 vaccine and second dose of progesterone for irregular menses. Impression probably history of autoimmune induced peripheral facial weakness as well as new onset of neuralgic pain. clinic notes for DOS 9/8/08-right sided posterior occipital and temporal pain since an episode of idiopathic Bell''s Bell's palsy. Pain now less. Increased neck pain now.


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