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This is VAERS ID 356032

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

356032
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2008-06-19
Onset:2009-04-21
Submitted:2009-08-25
Entered:2009-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10634 / 2 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Computerised tomogram, Computerised tomogram abnormal, Culture urine positive, Dysuria, Kidney infection, Mass, Pollakiuria, Pyelonephritis, Urinary tract infection, White blood cell count increased, White blood cells urine positive, Urine leukocyte esterase positive, Bacteria urine

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. PMH: Myringotomy tubes, UTI''s, acne, on OCP''s.
Allergies:
Diagnostic Lab Data: CAT Scan; Pharmaceutical agents; Hospitalization; Seeing a surgeon 8/28/09. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Labs and diagnosti
CDC 'Split Type':

Write-up:My daughter received all three injections of GARDASIL. Since receiving the last injection, she has been hospitalized with severe kidney infections and now has an odd mass on her head. We are seeing a surgeon on Friday 8/28/09 about removing the the mass on her head. My daughter has NEVER been sick before. She is 14 years old and only became sick since receiving the GARDASIL vaccine. Please help us to put an end to this horrible drug. Thank you. 10/7/09: Vaccine record received for date of service 6/19/08, VAERS updated. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Dx: UTI and Acute R Pyelonephritis. Assessment: Admitted for acute R pyelonephritis on 4/21/09 and started on IV antibiotic therapy. Seen again on 6/25/09 for frequency and burning on urination: UTI, prescribed amoxicillin. ICD 9 Codes: 599.0, 041.02, 706.1, 590.80.


Changed on 4/14/2017

356032 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2008-06-19
Onset:2009-04-21
Submitted:2009-08-25
Entered:2009-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10634 / 2 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Computerised tomogram, Computerised tomogram abnormal, Culture urine positive, Dysuria, Kidney infection, Mass, Pollakiuria, Pyelonephritis, Urinary tract infection, White blood cell count increased, White blood cells urine positive, Urine leukocyte esterase positive, Bacteria urine

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. PMH: Myringotomy tubes, UTI''s, acne, on OCP''s.
Allergies:
Diagnostic Lab Data: CAT Scan; Pharmaceutical agents; Hospitalization; Seeing a surgeon 8/28/09. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Labs and diagnosti diagnostics: Urine HGB Moderate-Abnormal, Leukocyte esterase Trace-Abnormal, Urine WBC''s 16 (H), Bacteria Few (H). WBC Count 12.6 (H). CT Abdomen and pelvis: Acute R pyelonephritis. Urine culture $g 100,000 colonies E. coli.
CDC 'Split Type':

Write-up:My daughter received all three injections of GARDASIL. Since receiving the last injection, she has been hospitalized with severe kidney infections and now has an odd mass on her head. We are seeing a surgeon on Friday 8/28/09 about removing the the mass on her head. My daughter has NEVER been sick before. She is 14 years old and only became sick since receiving the GARDASIL vaccine. Please help us to put an end to this horrible drug. Thank you. 10/7/09: Vaccine record received for date of service 6/19/08, VAERS updated. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Dx: UTI and Acute R Pyelonephritis. Assessment: Admitted for acute R pyelonephritis on 4/21/09 and started on IV antibiotic therapy. Seen again on 6/25/09 for frequency and burning on urination: UTI, prescribed amoxicillin. ICD 9 Codes: 599.0, 041.02, 706.1, 590.80.


Changed on 9/14/2017

356032 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2008-06-19
Onset:2009-04-21
Submitted:2009-08-25
Entered:2009-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10634 / 2 3 LA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Computerised tomogram, Kidney infection, Mass

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. PMH: Myringotomy tubes, UTI''s, acne, on OCP''s.
Allergies:
Diagnostic Lab Data: CAT Scan; Pharmaceutical agents; Hospitalization; Seeing a surgeon 8/28/09. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Labs and diagnostics: Urine HGB Moderate-Abnormal, Leukocyte esterase Trace-Abnormal, Urine WBC''s 16 (H), Bacteria Few (H). WBC Count 12.6 (H). CT Abdomen and pelvis: Acute R pyelonephritis. Urine culture $g 100,000 colonies E. coli.
CDC 'Split Type':

Write-up:My daughter received all three injections of GARDASIL. Since receiving the last injection, she has been hospitalized with severe kidney infections and now has an odd mass on her head. We are seeing a surgeon on Friday 8/28/09 about removing the the mass on her head. My daughter has NEVER been sick before. She is 14 years old and only became sick since receiving the GARDASIL vaccine. Please help us to put an end to this horrible drug. Thank you. 10/7/09: Vaccine record received for date of service 6/19/08, VAERS updated. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Dx: UTI and Acute R Pyelonephritis. Assessment: Admitted for acute R pyelonephritis on 4/21/09 and started on IV antibiotic therapy. Seen again on 6/25/09 for frequency and burning on urination: UTI, prescribed amoxicillin. ICD 9 Codes: 599.0, 041.02, 706.1, 590.80.


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