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This is VAERS ID 424767

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2011

424767
VAERS Form:
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2011-02-14
Onset:2011-05-27
Submitted:2011-06-03
Entered:2011-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0768Z / 2 AR / IJ

Administered by: Unknown      Purchased by: Private
Symptoms: Cyst, Infection, Weight decreased, Anti-insulin antibody positive, Anti-thyroid antibody positive, Type 1 diabetes mellitus

Life Threatening? Yes
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications Patient had 3 HPV shots on the following dates: 08/06/2009 11/18/2010 02/14/2011
Current Illness: No
Preexisting Conditions: Only minor allergy to cats
Allergies:
Diagnostic Lab Data: Patient is diagnosed with antibodies against the pancreatic/insulin function and also antibodies against the thyroid. Diagnosed Type 1 diabetes now and dependent on insulin
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes, however the onset probably happened earlier, with 14 pound weight loss noted during the 2 to 3 weeks after the third course of HPV vaccination. Patient also had a large cyst (infection, not at the shot site) within days after the third vaccination (02/14/2011) which could indicate high blood sugar.


Changed on 6/14/2014

424767 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2011-02-14
Onset:2011-05-27
Submitted:2011-06-03
Entered:2011-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0768Z / 2 AR / IJ

Administered by: Unknown      Purchased by: Private
Symptoms: Cyst, Infection, Weight decreased, Anti-insulin antibody positive, Anti-thyroid antibody positive, Type 1 diabetes mellitus

Life Threatening? Yes
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications Patient had 3 HPV shots on the following dates: 08/06/2009 11/18/2010 02/14/2011
Current Illness: No
Preexisting Conditions: Only minor allergy to cats
Allergies:
Diagnostic Lab Data: Patient is diagnosed with antibodies against the pancreatic/insulin function and also antibodies against the thyroid. Diagnosed Type 1 diabetes now and dependent on insulin
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes, however the onset probably happened earlier, with 14 pound weight loss noted during the 2 to 3 weeks after the third course of HPV vaccination. Patient also had a large cyst (infection, not at the shot site) within days after the third vaccination (02/14/2011) which could indicate high blood sugar.


Changed on 4/14/2017

424767 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2011-02-14
Onset:2011-05-27
Submitted:2011-06-03
Entered:2011-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0768Z / 2 AR / IJ

Administered by: Unknown      Purchased by: Private
Symptoms: Cyst, Infection, Weight decreased, Anti-insulin antibody positive, Anti-thyroid antibody positive, Type 1 diabetes mellitus

Life Threatening? Yes
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications Patient had 3 HPV shots on the following dates: 08/06/2009 11/18/2010 02/14/2011
Current Illness: No
Preexisting Conditions: Only minor allergy to cats
Allergies:
Diagnostic Lab Data: Patient is diagnosed with antibodies against the pancreatic/insulin function and also antibodies against the thyroid. Diagnosed Type 1 diabetes now and dependent on insulin
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes, however the onset probably happened earlier, with 14 pound weight loss noted during the 2 to 3 weeks after the third course of HPV vaccination. Patient also had a large cyst (infection, not at the shot site) within days after the third vaccination (02/14/2011) which could indicate high blood sugar.


Changed on 9/14/2017

424767 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Oregon
Vaccinated:2011-02-14
Onset:2011-05-27
Submitted:2011-06-03
Entered:2011-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0768Z / 2 3 AR / IJ

Administered by: Unknown      Purchased by: Private
Symptoms: Cyst, Infection, Weight decreased, Anti-insulin antibody positive, Anti-thyroid antibody positive, Type 1 diabetes mellitus

Life Threatening? Yes
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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications Patient had 3 HPV shots on the following dates: 08/06/2009 11/18/2010 02/14/2011
Current Illness: No
Preexisting Conditions: Only minor allergy to cats
Allergies:
Diagnostic Lab Data: Patient is diagnosed with antibodies against the pancreatic/insulin function and also antibodies against the thyroid. Diagnosed Type 1 diabetes now and dependent on insulin
CDC 'Split Type':

Write-up:Diagnosed with Type 1 diabetes, however the onset probably happened earlier, with 14 pound weight loss noted during the 2 to 3 weeks after the third course of HPV vaccination. Patient also had a large cyst (infection, not at the shot site) within days after the third vaccination (02/14/2011) which could indicate high blood sugar.


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