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This is VAERS ID 364710

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

364710
VAERS Form:
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-11-02
Entered:2009-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Coma, Neurological symptom

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0910USA02673

Write-up:Information has been received from a physician who heard from a Nurse concerning a young female who was vaccinated on an unspecified date with GARDASIL (Lot number was not available). The reporter stated that the patient experienced neurological side effects and entered a coma for a length of time after receiving GARDASIL. It also was stated that the patient "had gone through a lot of things but they felt it was from GARDASIL because of process of elimination". It was reported that "unspecified test" were performed on an unknown dates. The reporter mentioned that the patient was hospitalized for an unspecified length of time. At the time of reporting the patient had not recovered. "Attempts are being made to verify the existence of an identifiable patient". Additional information had been requested. Patient was hospitalized.


Changed on 9/14/2017

364710 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-11-02
Entered:2009-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Coma, Neurological symptom

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0910USA02673

Write-up:Information has been received from a physician who heard from a Nurse concerning a young female who was vaccinated on an unspecified date with GARDASIL (Lot number was not available). The reporter stated that the patient experienced neurological side effects and entered a coma for a length of time after receiving GARDASIL. It also was stated that the patient "had gone through a lot of things but they felt it was from GARDASIL because of process of elimination". It was reported that "unspecified test" were performed on an unknown dates. The reporter mentioned that the patient was hospitalized for an unspecified length of time. At the time of reporting the patient had not recovered. "Attempts are being made to verify the existence of an identifiable patient". Additional information had been requested. Patient was hospitalized.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=364710&WAYBACKHISTORY=ON


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