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This is VAERS ID 408846

History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

VAERS ID: 408846
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2010-06-08
Onset:2010-06-09
Submitted:2010-11-15
Entered:2010-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0416Z / - LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1013Y / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3335AA / - RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C3382AA / - RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Arthralgia, Constipation, Flank pain, Lymphadenitis, Pain, Activities of daily living impaired, Arthritis infective, Blood test

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:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1011USA00698

Write-up:Information has been received from a physician concerning a 12 year old female patient with no pertinent medical history and no drug reactions/allergies, who on 08-JUN-2010 was vaccinated with the first dose of GARDASIL (Lot # 662304/1013Y). Concomitant therapy included VAQTA (Lot # 667827/0416Z), diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and MENACTRA. On 09-JUN-2010 the patient experienced severe stomach ache, constipation, pain on the right side and joint pain after receiving GARDASIL. The patient went to ER and the final diagnosis was mesenteric adenitis with post infectious arthritis and was hospitalized. The patient had some blood tests performed (results not provided). At the time of the report, the patient''s arthritis continued and the outcome for mesenteric adenitis was unknown. The physician said that experience was considered to be disabling as it had kept the patient from participating in sports. Additional information has been requested.


Changed on 4/13/2011

VAERS ID: 408846 Before After
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2010-06-08
Onset:2010-06-09
Submitted:2010-11-15
Entered:2010-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0416Z / - LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1013Y / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3335AA / - RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C3382AA / - RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Alanine aminotransferase decreased, Alopecia, Antinuclear antibody negative, Arthralgia, Chest X-ray normal, Constipation, Dyspnoea, Fatigue, Flank pain, Lymphadenitis, Lymphadenopathy, Nausea, Pain, Pain in extremity, Pallor, Pharyngitis, Platelet count decreased, Pyrexia, Red blood cell count normal, Tenderness, Tremor, Urinary system X-ray, Weight decreased, White blood cell count normal, X-ray normal, Rheumatoid factor negative, Activities of daily living impaired, Ultrasound abdomen normal, Ultrasound pelvis normal, Epstein-Barr virus antibody positive, Computerised tomogram abdomen abnormal, Arthritis infective, Ultrasound scan abnormal, Blood test, Oropharyngeal pain, Streptococcus test negative

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:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1011USA00698

Write-up:Information has been received from a physician concerning a 12 year old female patient with no pertinent medical history and no drug reactions/allergies, who on 08-JUN-2010 was vaccinated with the first dose of GARDASIL (Lot # 662304/1013Y). Concomitant therapy included VAQTA (Lot # 667827/0416Z), diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and MENACTRA. On 09-JUN-2010 the patient experienced severe stomach ache, constipation, pain on the right side and joint pain after receiving GARDASIL. The patient went to ER and the final diagnosis was mesenteric adenitis with post infectious arthritis and was hospitalized. The patient had some blood tests performed (results not provided). At the time of the report, the patient''s arthritis continued and the outcome for mesenteric adenitis was unknown. The physician said that experience was considered to be disabling as it had kept the patient from participating in sports. Additional information has been requested.


Changed on 5/13/2011

VAERS ID: 408846 Before After
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2010-06-08
Onset:2010-06-09
Submitted:2010-11-15
Entered:2010-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0416Z / - LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1013Y / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3335AA / - RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C3382AA / - RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Alanine aminotransferase decreased, Alopecia, Antinuclear antibody negative, Arthralgia, Chest X-ray normal, Constipation, Dyspnoea, Fatigue, Flank pain, Lymphadenitis, Lymphadenopathy, Nausea, Pain, Pain in extremity, Pallor, Pharyngitis, Platelet count decreased, Pyrexia, Red blood cell count normal, Tenderness, Tremor, Urinary system X-ray, Weight decreased, White blood cell count normal, X-ray normal, Rheumatoid factor negative, Activities of daily living impaired, Ultrasound abdomen normal, Ultrasound pelvis normal, Epstein-Barr virus antibody positive, Computerised tomogram abdomen abnormal, Arthritis infective, Ultrasound scan abnormal, Blood test, Oropharyngeal pain, Streptococcus test negative

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:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1011USA00698

Write-up:Information has been received from a physician concerning a 12 year old female patient with no pertinent medical history and no drug reactions/allergies, who on 08-JUN-2010 was vaccinated with the first dose of GARDASIL (Lot # 662304/1013Y). Concomitant therapy included VAQTA (Lot # 667827/0416Z), diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and MENACTRA. On 09-JUN-2010 the patient experienced severe stomach ache, constipation, pain on the right side and joint pain after receiving GARDASIL. The patient went to ER and the final diagnosis was mesenteric adenitis with post infectious arthritis and was hospitalized. The patient had some blood tests performed (results not provided). At the time of the report, the patient''s arthritis continued and the outcome for mesenteric adenitis was unknown. The physician said that experience was considered to be disabling as it had kept the patient from participating in sports. Additional information has been requested.


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