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This is VAERS ID 433437

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2011

433437
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2008-10-08
Onset:0000-00-00
Submitted:2011-09-04
Entered:2011-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Anaemia, Cytomegalovirus infection, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Headache, Immune system disorder, Infection, Infectious mononucleosis, Nausea, Pain, Tonsillectomy, Tonsillitis, Activities of daily living impaired

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: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Pending
CDC 'Split Type':

Write-up:Immune dysfunction, mononucleosis, CMV virus, anemia, chronic fatigue, infections, nausea req''d gastroscopy, headaches, abscesses, tonsillitis led to removal, depression, shooting pains. Absence from school for most of last 2 years.


Changed on 9/14/2017

433437 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2008-10-08
Onset:0000-00-00
Submitted:2011-09-04
Entered:2011-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Anaemia, Cytomegalovirus infection, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Headache, Immune system disorder, Infection, Infectious mononucleosis, Nausea, Pain, Tonsillectomy, Tonsillitis, Activities of daily living impaired

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: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Pending
CDC 'Split Type':

Write-up:Immune dysfunction, mononucleosis, CMV virus, anemia, chronic fatigue, infections, nausea req''d gastroscopy, headaches, abscesses, tonsillitis led to removal, depression, shooting pains. Absence from school for most of last 2 years.


Changed on 10/14/2017

433437 Before After
VAERS Form:1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2008-10-08
Onset:0000-00-00
Submitted:2011-09-04
Entered:2011-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - NH29070 / 3 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Anaemia, Cytomegalovirus infection, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Headache, Immune system disorder, Infection, Infectious mononucleosis, Nausea, Pain, Tonsillectomy, Tonsillitis, Activities of daily living impaired

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: 5     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Pending
CDC 'Split Type':

Write-up:Immune dysfunction, mononucleosis, CMV virus, anemia, chronic fatigue, infections, nausea req''d gastroscopy, headaches, abscesses, tonsillitis led to removal, depression, shooting pains. Absence from school for most of last 2 years.


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