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This is VAERS ID 383350

History of Changes from the VAERS Wayback Machine

First Appeared on 4/7/2010

VAERS ID: 383350
Age:12.0
Gender:Female
Location:Montana
Vaccinated:2009-07-09
Onset:2009-07-29
Submitted:2010-03-23
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS ALTAVB350AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1130X / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2914AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471AA / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Bone scan, Hypoaesthesia, Sensory loss, X-ray, Juvenile arthritis, Autoimmune disorder, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no.
Diagnostic Lab Data: We took blood tests and were sent to the Hospital. They ran blood tests, took bone scans, took x-rays, etc.
CDC 'Split Type':

Write-up:My daughter received her vaccination and in August she started showing symptoms. Her limbs were becoming numb. She was loosing feeling in different parts of her body. At the end of August, she was diagnosed with the auto-immune disease Juvenile Rheumatoid Arthritis.


Changed on 4/13/2011

VAERS ID: 383350 Before After
Age:12.0
Gender:Female
Location:Montana
Vaccinated:2009-07-09
Onset:2009-07-29
Submitted:2010-03-23
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS ALTAVB350AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1130X / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2914AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471AA / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bone scan, Chest X-ray normal, Headache, Hypoaesthesia, Joint swelling, Myopia, Pain in extremity, Photophobia, Polyarthritis, Sensory loss, Vision blurred, X-ray, Specific gravity urine increased, Urine protein, quantitative, Eye pruritus, Musculoskeletal stiffness, Urine ketone body present, Juvenile arthritis, Autoimmune disorder, Blood test, Bone scan abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no.
Diagnostic Lab Data: We took blood tests and were sent to the Hospital. They ran blood tests, took bone scans, took x-rays, etc.
CDC 'Split Type':

Write-up:My daughter received her vaccination and in August she started showing symptoms. Her limbs were becoming numb. She was loosing feeling in different parts of her body. At the end of August, she was diagnosed with the auto-immune disease Juvenile Rheumatoid Arthritis.


Changed on 5/13/2011

VAERS ID: 383350 Before After
Age:12.0
Gender:Female
Location:Montana
Vaccinated:2009-07-09
Onset:2009-07-29
Submitted:2010-03-23
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS ALTAVB350AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1130X / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2914AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471AA / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bone scan, Chest X-ray normal, Headache, Hypoaesthesia, Joint swelling, Myopia, Pain in extremity, Photophobia, Polyarthritis, Sensory loss, Vision blurred, X-ray, Specific gravity urine increased, Urine protein, quantitative, Eye pruritus, Musculoskeletal stiffness, Urine ketone body present, Juvenile arthritis, Autoimmune disorder, Blood test, Bone scan abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no.
Diagnostic Lab Data: We took blood tests and were sent to the Hospital. They ran blood tests, took bone scans, took x-rays, etc.
CDC 'Split Type':

Write-up:My daughter received her vaccination and in August she started showing symptoms. Her limbs were becoming numb. She was loosing feeling in different parts of her body. At the end of August, she was diagnosed with the auto-immune disease Juvenile Rheumatoid Arthritis.


Changed on 6/11/2011

VAERS ID: 383350 Before After
Age:12.0
Gender:Female
Location:Montana
Vaccinated:2009-07-09
Onset:2009-07-29
Submitted:2010-03-23
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS ALTAVB350AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1130X / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2914AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471AA / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bone scan, Chest X-ray normal, Headache, Hypoaesthesia, Joint swelling, Myopia, Pain in extremity, Photophobia, Polyarthritis, Sensory loss, Vision blurred, X-ray, Specific gravity urine increased, Urine protein, quantitative, Eye pruritus, Musculoskeletal stiffness, Urine ketone body present, Juvenile arthritis, Autoimmune disorder, Blood test, Bone scan abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no.
Diagnostic Lab Data: We took blood tests and were sent to the Hospital. They ran blood tests, took bone scans, took x-rays, etc.
CDC 'Split Type':

Write-up:My daughter received her vaccination and in August she started showing symptoms. Her limbs were becoming numb. She was loosing feeling in different parts of her body. At the end of August, she was diagnosed with the auto-immune disease Juvenile Rheumatoid Arthritis.


Changed on 3/14/2015

VAERS ID: 383350 Before After
Age:12.0
Gender:Female
Location:Montana
Vaccinated:2009-07-09
Onset:2009-07-29
Submitted:2010-03-23
Entered:2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS ALTAVB350AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1130X / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2914AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471AA / 0 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Bone scan, Chest X-ray normal, Headache, Hypoaesthesia, Joint swelling, Myopia, Pain in extremity, Photophobia, Polyarthritis, Sensory loss, Vision blurred, X-ray, Specific gravity urine increased, Urine protein, quantitative, Eye pruritus, Musculoskeletal stiffness, Urine ketone body present, Juvenile arthritis, Autoimmune disorder, Blood test, Bone scan abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no.
Diagnostic Lab Data: We took blood tests and were sent to the Hospital. They ran blood tests, took bone scans, took x-rays, etc.
CDC 'Split Type':

Write-up:My daughter received her vaccination and in August she started showing symptoms. Her limbs were becoming numb. She was loosing feeling in different parts of her body. At the end of August, she was diagnosed with the auto-immune disease Juvenile Rheumatoid Arthritis.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=383350&WAYBACKHISTORY=ON


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