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This is VAERS ID 446247

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2012

446247
VAERS Form:
Age:13.0
Gender:Female
Location:Georgia
Vaccinated:2008-06-04
Onset:2008-06-07
Submitted:2011-12-26
Entered:2011-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MUR: MUMPS + RUBELLA (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Pyrexia, Abasia, Seizure like phenomena

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: None
Current Illness: No illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Seizure like episode. Could not walk. Extreme pain all over. Fever.


Changed on 6/14/2014

446247 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Georgia
Vaccinated:2008-06-04
Onset:2008-06-07
Submitted:2011-12-26
Entered:2011-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MUR: MUMPS + RUBELLA (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Pyrexia, Abasia, Seizure like phenomena

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: None
Current Illness: No illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Seizure like episode. Could not walk. Extreme pain all over. Fever.


Changed on 3/14/2015

446247 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Georgia
Vaccinated:2008-06-04
Onset:2008-06-07
Submitted:2011-12-26
Entered:2011-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
MUR: MUMPS + RUBELLA (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Pyrexia, Abasia, Seizure like phenomena

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: None
Current Illness: No illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Seizure like episode. Could not walk. Extreme pain all over. Fever.


Changed on 9/14/2017

446247 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Georgia
Vaccinated:2008-06-04
Onset:2008-06-07
Submitted:2011-12-26
Entered:2011-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN
MUR: MUMPS + RUBELLA (FOREIGN) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Private
Symptoms: Pain, Pyrexia, Abasia, Seizure like phenomena

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: None
Current Illness: No illness
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Seizure like episode. Could not walk. Extreme pain all over. Fever.


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