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This is VAERS ID 366928

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

366928
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Breast swelling, Chest pain, Dizziness, Electroencephalogram, Erythema, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Tenderness, Activities of daily living impaired, Cardiac stress test, Blood test, Antibiotic therapy

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redenss, swelling. ABx therapy.


Changed on 4/7/2010

366928 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Breast swelling, Chest pain, Dizziness, Electroencephalogram, Erythema, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Tenderness, Activities of daily living impaired, Cardiac stress test, Blood test, Antibiotic therapy

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redenss, redness, swelling. ABx therapy.


Changed on 4/13/2011

366928 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Breast swelling, Chest pain, Dizziness, Electroencephalogram, Erythema, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Tenderness, Activities of daily living impaired, Cardiac stress test, Blood test

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redness, swelling. ABx therapy.


Changed on 5/13/2011

366928 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Breast swelling, Chest pain, Dizziness, Electroencephalogram, Erythema, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Tenderness, Activities of daily living impaired, Cardiac stress test, Blood test

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redness, swelling. ABx therapy.


Changed on 6/11/2011

366928 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Breast swelling, Chest pain, Dizziness, Electroencephalogram, Erythema, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Tenderness, Activities of daily living impaired, Cardiac stress test, Blood test

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redness, swelling. ABx therapy.


Changed on 4/14/2017

366928 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Breast swelling, Chest pain, Dizziness, Electroencephalogram, Erythema, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Tenderness, Activities of daily living impaired, Cardiac stress test, Blood test

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redness, swelling. ABx therapy.


Changed on 9/14/2017

366928 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2009-01-27
Onset:2009-01-27
Submitted:2009-11-12
Entered:2009-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0249Y / 2 3 AR / IJ

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Chest pain, Dizziness, Electroencephalogram, Fall, Fatigue, Feeling hot, Gait disturbance, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging, Pain, Paraesthesia, Syncope, Activities of daily living impaired, Cardiac stress test, Blood test

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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: h/o beast pain, redenss, swelling.
Allergies:
Diagnostic Lab Data: Multiple blood tests, cardiac stress tests, EEG, MRIs, & general physical exams.
CDC 'Split Type':

Write-up:Initially after the vaccination Jasmyne felt hot and passed out. She was woozy and we waited until she was more stable so we could take her home. Within a week roughly she started to have random fainting spells which she had never experienced before. Additionally, she has numbness/tingling in arms and legs and intermittent chest pains. She is constantly fatigued and because we never know when she will have a fainting episode she is homeschooled. She tends to be very weak and dizzy after she faints and it can take a hour or so for her to regain any strength. Many times her legs give out when she is walking and she falls down. She has seen multiple doctors and specialists. We just monitor her condition and make sure stay hydrated and we also increased her sodium to try and combat the fainting which has been slightly effective. The biggest issue now is the constant fatigue and pain she experiences regularly. 11/16/09 Medical records received fro DOS 1/27/09. PCP notes documents vaccine dates and h/o beast pain, redness, swelling. ABx therapy.


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