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This is VAERS ID 358916

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 358916
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNK / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfar medications
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination.


Changed on 1/5/2010

VAERS ID: 358916 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256BA / 1 RA / IJ
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNK 19878U / 0 1 RA LA / UN IJ

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes No, days: 1 (blank)     Extended hospital stay? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfar sulfa medications PMH: Diabetes , scoliosis Allergies: Sulfa
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM


Changed on 4/13/2011

VAERS ID: 358916 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256BA / 1 RA / IJ
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 19878U / 1 LA / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfa medications PMH: Diabetes , scoliosis Allergies: Sulfa
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM


Changed on 5/13/2011

VAERS ID: 358916 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256BA / 1 RA / IJ
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 19878U / 1 LA / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfa medications PMH: Diabetes , scoliosis Allergies: Sulfa
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM


Changed on 6/11/2011

VAERS ID: 358916 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256BA / 1 RA / IJ
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 19878U / 1 LA / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfa medications PMH: Diabetes , scoliosis Allergies: Sulfa
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM


Changed on 6/14/2014

VAERS ID: 358916 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256BA / 1 RA / IJ
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 19878U / 1 LA / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfa medications PMH: Diabetes , scoliosis Allergies: Sulfa
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM


Changed on 4/14/2017

VAERS ID: 358916 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2008-04-07
Onset:2009-06-03
Submitted:2009-09-30
Entered:2009-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB256BA / 1 RA / IJ
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 19878U / 1 LA / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pollakiuria, Blood test, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: nothing
Current Illness: none - vaccination was given at regular 11 yr old well child care check up
Preexisting Conditions: allergic to sulfa medications PMH: Diabetes , scoliosis Allergies: Sulfa
Diagnostic Lab Data: blood tests
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes two months later. Frequent urination started 6 wks after vaccination and diagnosed with diabetes 8 wks after vaccination. 1/7/2010 PCP records for 2 wellness visits, 4/2008 and 5/2009, on second visit it states patient on an Insulin pump x 2 months, stable HgbA1C, Dx IDDM


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