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This is VAERS ID 445119

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2011

445119
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-09
Entered:2011-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Depression, Disinhibition, Autoimmune disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES1112USA00219

Write-up:Information has been received from a nurse practitioner student (who was also a registered nurse) concerning a female who on an unspecified date ("a couple years ago") was vaccinated with the first dose of GARDASIL (Lot# was unspecified) (intramuscularly, dose not reported). With in days the patient showed signs of an unknown auto immune disorder. The nurse said they also showed signs of chronic fatigue syndrome, depression, possible retardation and a general lack of inhibition. The patient sought unspecified medical attention. Therapy with GARDASIL was discontinued. The patient''s adverse events were considered to be disabling by reporter. At the time of reporting, the outcome was unknown. Additional information has been requested.


Changed on 6/14/2014

445119 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-09
Entered:2011-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Depression, Disinhibition, Autoimmune disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES1112USA00219

Write-up:Information has been received from a nurse practitioner student (who was also a registered nurse) concerning a female who on an unspecified date ("a couple years ago") was vaccinated with the first dose of GARDASIL (Lot# was unspecified) (intramuscularly, dose not reported). With in days the patient showed signs of an unknown auto immune disorder. The nurse said they also showed signs of chronic fatigue syndrome, depression, possible retardation and a general lack of inhibition. The patient sought unspecified medical attention. Therapy with GARDASIL was discontinued. The patient''s adverse events were considered to be disabling by reporter. At the time of reporting, the outcome was unknown. Additional information has been requested.


Changed on 4/14/2017

445119 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-09
Entered:2011-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Depression, Disinhibition, Autoimmune disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES1112USA00219

Write-up:Information has been received from a nurse practitioner student (who was also a registered nurse) concerning a female who on an unspecified date ("a couple years ago") was vaccinated with the first dose of GARDASIL (Lot# was unspecified) (intramuscularly, dose not reported). With in days the patient showed signs of an unknown auto immune disorder. The nurse said they also showed signs of chronic fatigue syndrome, depression, possible retardation and a general lack of inhibition. The patient sought unspecified medical attention. Therapy with GARDASIL was discontinued. The patient''s adverse events were considered to be disabling by reporter. At the time of reporting, the outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

445119 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-09
Entered:2011-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Depression, Disinhibition, Autoimmune disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES1112USA00219

Write-up:Information has been received from a nurse practitioner student (who was also a registered nurse) concerning a female who on an unspecified date ("a couple years ago") was vaccinated with the first dose of GARDASIL (Lot# was unspecified) (intramuscularly, dose not reported). With in days the patient showed signs of an unknown auto immune disorder. The nurse said they also showed signs of chronic fatigue syndrome, depression, possible retardation and a general lack of inhibition. The patient sought unspecified medical attention. Therapy with GARDASIL was discontinued. The patient''s adverse events were considered to be disabling by reporter. At the time of reporting, the outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=445119&WAYBACKHISTORY=ON


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