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This is VAERS ID 374963

History of Changes from the VAERS Wayback Machine

First Appeared on 1/5/2010

374963
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IJ

Administered by: Unknown      Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Rheumatoid arthritis, Rheumatoid factor positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 2/5/2010

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1447F / 0 1 RA / IJ IM

Administered by: Unknown      Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Rheumatoid arthritis, Rheumatoid factor positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 8/31/2010

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Rheumatoid arthritis, Rheumatoid factor positive, Shoulder pain, Bladder spasm

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 1/4/2011

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Rheumatoid arthritis, Rheumatoid factor positive, Shoulder pain, Bladder spasm

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 4/13/2011

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Alopecia, Arthralgia, Asthenia, Dysuria, Joint swelling, Micturition urgency, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Rheumatoid arthritis, Rheumatoid factor positive, Synovitis, X-ray normal, Bladder spasm, Antinuclear antibody positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 5/13/2011

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Alopecia, Arthralgia, Asthenia, Dysuria, Joint swelling, Micturition urgency, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Rheumatoid arthritis, Rheumatoid factor positive, Synovitis, X-ray normal, Bladder spasm, Antinuclear antibody positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 6/11/2011

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Alopecia, Arthralgia, Asthenia, Dysuria, Joint swelling, Micturition urgency, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Rheumatoid arthritis, Rheumatoid factor positive, Synovitis, X-ray normal, Bladder spasm, Antinuclear antibody positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 2/14/2017

374963 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Alopecia, Arthralgia, Asthenia, Dysuria, Joint swelling, Micturition urgency, Musculoskeletal pain, Nuclear magnetic resonance imaging normal, Rheumatoid arthritis, Rheumatoid factor positive, Synovitis, X-ray normal, Bladder spasm, Antinuclear antibody positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


Changed on 9/14/2017

374963 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-05-14
Onset:2009-07-10
Submitted:2009-12-24
Entered:2009-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Arthralgia, Musculoskeletal pain, Rheumatoid arthritis, Rheumatoid factor positive

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: RA factor found in blood tests, positive for Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Pain in shoulders mostly and other joints, knees, feet, elbows, jaw.


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