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This is VAERS ID 414486

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2011

VAERS ID: 414486
Age:12.0
Gender:Female
Location:California
Vaccinated:2008-02-18
Onset:2008-06-28
Submitted:2011-01-11
Entered:2011-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0928U / 1 UN / UN
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR U2382BA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B019AA / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Body temperature increased, Pain, Rheumatoid arthritis, Abasia, Juvenile arthritis, Antinuclear antibody positive

Life Threatening? Yes
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: no
Preexisting Conditions: none
Diagnostic Lab Data: ANA confirming systemic Juvenile Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Patient''s body temperature went up to 104 and she couldn''t walk. She was is a lot of pain and was admitted to the hospital.


Changed on 4/13/2011

VAERS ID: 414486 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2008-02-18
Onset:2008-06-28
Submitted:2011-01-11
Entered:2011-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0928U / 1 UN / UN
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR U2382BA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B019AA / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Antinuclear antibody negative, Arthralgia, Blood culture negative, Body temperature increased, C-reactive protein increased, Carbon dioxide increased, Chest X-ray normal, Culture throat negative, Electrocardiogram normal, Joint swelling, Lymphocyte count decreased, Myalgia, Neutrophil count, Neutrophil count increased, Pain, Pyrexia, Rash, Rash macular, Rheumatoid arthritis, White blood cell count increased, Rheumatoid factor negative, Abasia, Platelet count increased, Juvenile arthritis, Antinuclear antibody positive, Streptococcus test negative

Life Threatening? Yes
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: no
Preexisting Conditions: none
Diagnostic Lab Data: ANA confirming systemic Juvenile Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Patient''s body temperature went up to 104 and she couldn''t walk. She was is a lot of pain and was admitted to the hospital.


Changed on 5/13/2011

VAERS ID: 414486 Before After
Age:12.0
Gender:Female
Location:California
Vaccinated:2008-02-18
Onset:2008-06-28
Submitted:2011-01-11
Entered:2011-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0928U / 1 UN / UN
MEN: MENINGOCOCCAL (MENOMUNE) / SANOFI PASTEUR U2382BA / - UN / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B019AA / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Antinuclear antibody negative, Arthralgia, Blood culture negative, Body temperature increased, C-reactive protein increased, Carbon dioxide increased, Chest X-ray normal, Culture throat negative, Electrocardiogram normal, Joint swelling, Lymphocyte count decreased, Myalgia, Neutrophil count, Neutrophil count increased, Pain, Pyrexia, Rash, Rash macular, Rheumatoid arthritis, White blood cell count increased, Rheumatoid factor negative, Abasia, Platelet count increased, Juvenile arthritis, Antinuclear antibody positive, Streptococcus test negative

Life Threatening? Yes
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: no
Preexisting Conditions: none
Diagnostic Lab Data: ANA confirming systemic Juvenile Rheumatoid Arthritis
CDC 'Split Type':

Write-up:Patient''s body temperature went up to 104 and she couldn''t walk. She was is a lot of pain and was admitted to the hospital.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=414486&WAYBACKHISTORY=ON


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