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This is VAERS ID 383291

History of Changes from the VAERS Wayback Machine

First Appeared on 4/7/2010

VAERS ID: 383291
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Condition aggravated, Depression, Migraine, Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLORINEF; PREVACID; TOPAMAX
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


Changed on 4/13/2011

VAERS ID: 383291 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Back pain, Chronic fatigue syndrome, Computerised tomogram normal, Condition aggravated, Depression, Epilepsy, Headache, Irritable bowel syndrome, Migraine, Nuclear magnetic resonance imaging normal, Reflux oesophagitis, Syncope, Blood test normal, Abdominal X-ray

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLORINEF; PREVACID; TOPAMAX
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


Changed on 5/13/2011

VAERS ID: 383291 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Back pain, Chronic fatigue syndrome, Computerised tomogram normal, Condition aggravated, Depression, Epilepsy, Headache, Irritable bowel syndrome, Migraine, Nuclear magnetic resonance imaging normal, Reflux oesophagitis, Syncope, Blood test normal, Abdominal X-ray

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLORINEF; PREVACID; TOPAMAX
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


Changed on 6/11/2011

VAERS ID: 383291 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Back pain, Chronic fatigue syndrome, Computerised tomogram normal, Condition aggravated, Depression, Epilepsy, Headache, Irritable bowel syndrome, Migraine, Nuclear magnetic resonance imaging normal, Reflux oesophagitis, Syncope, Blood test normal, Abdominal X-ray

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLORINEF; PREVACID; TOPAMAX
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 383291 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Back pain, Chronic fatigue syndrome, Computerised tomogram normal, Condition aggravated, Depression, Epilepsy, Headache, Irritable bowel syndrome, Migraine, Nuclear magnetic resonance imaging normal, Reflux oesophagitis, Syncope, Blood test normal, Abdominal X-ray

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLORINEF; PREVACID; TOPAMAX
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 383291 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Back pain, Chronic fatigue syndrome, Computerised tomogram normal, Condition aggravated, Depression, Epilepsy, Headache, Irritable bowel syndrome, Migraine, Nuclear magnetic resonance imaging normal, Reflux oesophagitis, Syncope, Blood test normal, Abdominal X-ray

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


Changed on 4/14/2017

VAERS ID: 383291 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2008-08-26
Onset:2008-09-13
Submitted:2010-03-22
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / - UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2429AA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52Z015AA / - UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0512X / - UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Condition aggravated, Depression, Migraine, Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: FLORINEF; PREVACID; TOPAMAX
Current Illness: Neurocardiogenic syncope; Helicobacter pylori infection; Irritable bowel syndrome; Asthma; Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1003USA01956

Write-up:Initial and follow up information has been received from a office medical assistant concerning her 12 year old daughter with no known drug allergies, neurocardio syncope since the 5th grade, Helicobacter pylori, irritable bowel syndrome and asthma who on 26-AUG-2008 (also reported 13-AUG-2010) was vaccinated with a dose of GARDASIL (Lot#657868/0523U) and VARIVAX (Oka/Merck) (Lot#660944/0512X) at a county health. Concomitant vaccination included MENACTRA and BOOSTRIX. Other concomitant therapy included FLORINEF, TOPAMAX and PREVACID. On 13-SEP-2008 the patient experienced chronic fatigue syndrome. Then the patient''s neurocardio syncope was exacerbated leading to migraine headaches and was hospitalized twice in 2008, for an unspecified amount of time. On an unspecified date, the patient was seen by psych who said that the patient was depressed and brought on her own headaches. The reporter stated that this was not true. The patient had been followed by neurology for her neurocardio syncope. It was noted that the patient has been home schooled since 2009, since her conditions keep her from going to school. At the time of the report, the patient had not recovered. Therapy with GARDASIL was discontinued. Chronic fatigue syndrome, exacerbated neurocardio syncope, migraine headaches and depressed were considered to be disabling by the office medical assistant. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=383291&WAYBACKHISTORY=ON


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