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This is VAERS ID 342125

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

342125
VAERS Form:
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-10-27
Onset:2008-12-01
Submitted:2009-03-13
Entered:2009-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500560P / 0 - / IN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0902USA04623

Write-up:Information has been received from a consumer concerning her daughter a 13 year old female who in October 2008, was vaccinated with a third dose of GARDASIL. There was no concomitant medication. In December 2008, the patient experienced muscle pain, weakness and joint pain and weakness and the symptoms persisted since to present. The patient did not sought medical attention. Additional information has been requested.


Changed on 7/7/2013

342125 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-10-27
Onset:2008-12-01
Submitted:2009-03-13
Entered:2009-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500560P / 0 - / IN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500560P / 0 - / IN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0902USA04623

Write-up:Information has been received from a consumer concerning her daughter a 13 year old female who in October 2008, was vaccinated with a third dose of GARDASIL. There was no concomitant medication. In December 2008, the patient experienced muscle pain, weakness and joint pain and weakness and the symptoms persisted since to present. The patient did not sought medical attention. Additional information has been requested.


Changed on 9/14/2017

342125 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-10-27
Onset:2008-12-01
Submitted:2009-03-13
Entered:2009-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500560P / 0 1 - NS / IN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0902USA04623

Write-up:Information has been received from a consumer concerning her daughter a 13 year old female who in October 2008, was vaccinated with a third dose of GARDASIL. There was no concomitant medication. In December 2008, the patient experienced muscle pain, weakness and joint pain and weakness and the symptoms persisted since to present. The patient did not sought medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=342125&WAYBACKHISTORY=ON


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