National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 422580

History of Changes from the VAERS Wayback Machine

First Appeared on 5/13/2011

422580
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-09
Entered:2011-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rheumatoid arthritis, Chemotherapy

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1105USA00573

Write-up:Information has been received from a physician concerning her daughter who approximately 2 years ago, in approximately 2009 was vaccinated with the first dose of GARDASIL. Within one month after vaccination, the patient was diagnosed with rheumatoid arthritis. The patient never received any additional doses of GARDASIL. The patient continued to see a specialist for her condition and had been undergoing chemotherapy with methotrexate (manufacturer unknown). Upon the time of the report, the patient was not recovered. Rheumatoid arthritis was considered to be disabling and an other important medical event by the physician. Additional information has been requested.


Changed on 6/14/2014

422580 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-09
Entered:2011-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rheumatoid arthritis, Chemotherapy

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1105USA00573

Write-up:Information has been received from a physician concerning her daughter who approximately 2 years ago, in approximately 2009 was vaccinated with the first dose of GARDASIL. Within one month after vaccination, the patient was diagnosed with rheumatoid arthritis. The patient never received any additional doses of GARDASIL. The patient continued to see a specialist for her condition and had been undergoing chemotherapy with methotrexate (manufacturer unknown). Upon the time of the report, the patient was not recovered. Rheumatoid arthritis was considered to be disabling and an other important medical event by the physician. Additional information has been requested.


Changed on 4/14/2017

422580 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-09
Entered:2011-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rheumatoid arthritis, Chemotherapy

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1105USA00573

Write-up:Information has been received from a physician concerning her daughter who approximately 2 years ago, in approximately 2009 was vaccinated with the first dose of GARDASIL. Within one month after vaccination, the patient was diagnosed with rheumatoid arthritis. The patient never received any additional doses of GARDASIL. The patient continued to see a specialist for her condition and had been undergoing chemotherapy with methotrexate (manufacturer unknown). Upon the time of the report, the patient was not recovered. Rheumatoid arthritis was considered to be disabling and an other important medical event by the physician. Additional information has been requested.


Changed on 9/14/2017

422580 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-09
Entered:2011-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rheumatoid arthritis, Chemotherapy

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1105USA00573

Write-up:Information has been received from a physician concerning her daughter who approximately 2 years ago, in approximately 2009 was vaccinated with the first dose of GARDASIL. Within one month after vaccination, the patient was diagnosed with rheumatoid arthritis. The patient never received any additional doses of GARDASIL. The patient continued to see a specialist for her condition and had been undergoing chemotherapy with methotrexate (manufacturer unknown). Upon the time of the report, the patient was not recovered. Rheumatoid arthritis was considered to be disabling and an other important medical event by the physician. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=422580&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166