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This is VAERS ID 393022

History of Changes from the VAERS Wayback Machine

First Appeared on 7/31/2010

393022
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2010-02-26
Onset:2010-03-09
Submitted:2010-07-16
Entered:2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Malaise, Skull X-ray, Urine analysis, Stool analysis, Abdominal X-ray, 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: None
Allergies:
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC 'Split Type':

Write-up:Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.


Changed on 8/31/2010

393022 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2010-02-26
Onset:2010-03-09
Submitted:2010-07-16
Entered:2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Malaise, Skull X-ray, Urine analysis, Paranasal sinus discomfort, Stool analysis, Abdominal X-ray, 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: None
Allergies:
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC 'Split Type':

Write-up:Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.


Changed on 1/4/2011

393022 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2010-02-26
Onset:2010-03-09
Submitted:2010-07-16
Entered:2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Malaise, Skull X-ray, Urine analysis, Paranasal sinus discomfort, Stool analysis, Abdominal X-ray, 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: None
Allergies:
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC 'Split Type':

Write-up:Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.


Changed on 4/13/2011

393022 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2010-02-26
Onset:2010-03-09
Submitted:2010-07-16
Entered:2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Abdominal tenderness, Blood pressure increased, C-reactive protein normal, Diarrhoea, Dizziness, Fatigue, Full blood count normal, Headache, Heart rate increased, Lethargy, Malaise, Mood altered, Muscle spasms, Nasal congestion, Skull X-ray, Urine analysis, Viral infection, Activities of daily living impaired, Paranasal sinus discomfort, Stool analysis, Abdominal X-ray, Blood test, Viral test negative

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: None
Allergies:
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC 'Split Type':

Write-up:Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.


Changed on 5/13/2011

393022 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2010-02-26
Onset:2010-03-09
Submitted:2010-07-16
Entered:2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Abdominal tenderness, Blood pressure increased, C-reactive protein normal, Diarrhoea, Dizziness, Fatigue, Full blood count normal, Headache, Heart rate increased, Lethargy, Malaise, Mood altered, Muscle spasms, Nasal congestion, Skull X-ray, Urine analysis, Viral infection, Activities of daily living impaired, Paranasal sinus discomfort, Stool analysis, Abdominal X-ray, Blood test, Viral test negative

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: None
Allergies:
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC 'Split Type':

Write-up:Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.


Changed on 9/14/2017

393022 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:California
Vaccinated:2010-02-26
Onset:2010-03-09
Submitted:2010-07-16
Entered:2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 1 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Dizziness, Fatigue, Headache, Malaise, Skull X-ray, Urine analysis, Stool analysis, Abdominal X-ray, 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: None
Allergies:
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC 'Split Type':

Write-up:Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.


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