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This is VAERS ID 358271

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 358271
Age:14.0
Gender:Female
Location:California
Vaccinated:2009-08-18
Onset:2009-08-19
Submitted:2009-09-24
Entered:2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0670Y / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody, Audiogram abnormal, Cyst, Deafness neurosensory, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging abnormal, Tinnitus, Red blood cell sedimentation rate, Ear discomfort, Laboratory test normal, Steroid therapy, Metabolic function test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC 'Split Type':

Write-up:headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..


Changed on 1/5/2010

VAERS ID: 358271 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2009-08-18
Onset:2009-08-19
Submitted:2009-09-24
Entered:2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0670Y / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody, Audiogram abnormal, Cyst, Deafness neurosensory, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Tinnitus, Red blood cell sedimentation rate, Ear discomfort, Laboratory test normal, Steroid therapy, Metabolic function test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC 'Split Type':

Write-up:headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..


Changed on 4/13/2011

VAERS ID: 358271 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2009-08-18
Onset:2009-08-19
Submitted:2009-09-24
Entered:2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0670Y / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody, Audiogram abnormal, Cyst, Deafness neurosensory, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Tinnitus, Red blood cell sedimentation rate, Red blood cell sedimentation rate normal, Ear discomfort, Laboratory test normal, Metabolic function test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC 'Split Type':

Write-up:headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..


Changed on 5/13/2011

VAERS ID: 358271 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2009-08-18
Onset:2009-08-19
Submitted:2009-09-24
Entered:2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0670Y / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody, Audiogram abnormal, Cyst, Deafness neurosensory, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Tinnitus, Red blood cell sedimentation rate, Red blood cell sedimentation rate normal, Ear discomfort, Laboratory test normal, Metabolic function test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC 'Split Type':

Write-up:headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..


Changed on 6/11/2011

VAERS ID: 358271 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2009-08-18
Onset:2009-08-19
Submitted:2009-09-24
Entered:2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0670Y / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody, Audiogram abnormal, Cyst, Deafness neurosensory, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Tinnitus, Red blood cell sedimentation rate, Red blood cell sedimentation rate normal, Ear discomfort, Laboratory test normal, Metabolic function test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC 'Split Type':

Write-up:headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..


Changed on 4/14/2017

VAERS ID: 358271 Before After
Age:14.0
Gender:Female
Location:California
Vaccinated:2009-08-18
Onset:2009-08-19
Submitted:2009-09-24
Entered:2009-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0670Y / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Antinuclear antibody, Audiogram abnormal, Cyst, Deafness neurosensory, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging abnormal, Nuclear magnetic resonance imaging normal, Tinnitus, Red blood cell sedimentation rate, Red blood cell sedimentation rate normal, Ear discomfort, Laboratory test normal, Metabolic function test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none. 9/28/09 ENT Consultant records DOS 8/24/09. Asthma.
Diagnostic Lab Data: MRI IAC: normal. labs: ESR, ANA SCREEN, COMPREHENSIVE METABOLIC PANAL: pending. 9/28/09 ENT Consultant records DOS 8/24/09 LABS and DIAGNOSTICS: Audiogram - Abnormal. MRI - Abnormal. ANA - Pending. Chem - WNL.
CDC 'Split Type':

Write-up:headache day of injection 8/18, ear discomfort and sudden hearing loss 8/19 to R ear. appointment with PCP 8/20. appt with ENT specialist 8/24, prescribed prednisone. appointment with audiologist 8/24. apointment with ENT specialist and Audiologist 9/8. MRI ordered and done 9/10. appt 9/11 with ENT specialist for steroid injection to R ear. Appt 9/22 with ENT specialist and audiologist. labs ordered. 9/28/09 ENT Consultant records DOS 8/24/09 DOS 8/24/09 to 9/27/09. Assessment: Sensorineural Hearing Loss. Patient c/o decreased hearing (R) ear, dizziness. Profound sensorineural hearing loss (R) ear, normal hearing (L) ear. Tinnitus. Nausea. Left maxillary sinus bone mucous retention cyst 12/30/09 Pediatric Medical records received for DOS 08/24/09, 09/15/09. Telephone request for referral to ENT specialist. On prednisone and will f/u with ENT Impression : viral hearing loss, probably not vaccine related..


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