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This is VAERS ID 390263

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/31/2010

VAERS ID: 390263
VAERS Form:
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered o
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 1/4/2011

VAERS ID: 390263 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered o on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 6/14/2014

VAERS ID: 390263 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 4/14/2017

VAERS ID: 390263 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 9/14/2017

VAERS ID: 390263 Before After
VAERS Form:(blank) 1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 2 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 2/14/2018

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 6/14/2018

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 8/14/2018

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 9/14/2018

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 10/14/2018

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 12/24/2020

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 12/30/2020

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 5/7/2021

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.


Changed on 5/14/2021

VAERS ID: 390263 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:New York
Vaccinated:2009-12-09
Onset:2009-12-20
Submitted:2010-06-08
Entered:2010-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS UNKNOOWN / 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest pain, Muscle spasms, Muscle twitching, Myalgia, Neutrophil count decreased, Pain, White blood cell count decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: none
Current Illness: None known - please note this was administered at my prior office and I do not have the records. The 3rd dose was administered on the above date per patient but other dosing dates not now available
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Have started laboratory work-up. Abnormal WBCs (low WBCs and neutrophils) and plan to refer to hematology.
CDC 'Split Type':

Write-up: This is an estimate of the date. Patient took bus and developed cramps in calf muscles. Went to ER -- negative DVT. Pain then generalized. Now with generalized muscle achiness/pain (more in extremities), twitching, popping sensation in joints, now also shooting pains in chest.

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