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This is VAERS ID 451703

History of Changes from the VAERS Wayback Machine

First Appeared on 4/11/2012

VAERS ID: 451703
VAERS Form:
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.


Changed on 9/14/2017

VAERS ID: 451703 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 2 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.


Changed on 2/14/2018

VAERS ID: 451703 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.


Changed on 6/14/2018

VAERS ID: 451703 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.


Changed on 8/14/2018

VAERS ID: 451703 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.


Changed on 9/14/2018

VAERS ID: 451703 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.


Changed on 10/14/2018

VAERS ID: 451703 Before After
VAERS Form:1
Age:28.0
Sex:Female
Location:Foreign
Vaccinated:2005-02-16
Onset:2010-06-03
Submitted:2012-03-12
Entered:2012-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS VX10787 / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Colitis, Hysterectomy, Ovarian disorder, Pelvic pain, Mass excision, Chemotherapy, Metastasis, Pelvic discomfort, Stomach mass, Ultrasound ovary abnormal, Ovarian cancer stage III

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-10-23
Permanent Disability? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Between June-August 2010, subject started with pain/discomfort in pelvic region. She consulted her local primary care center and was diagnosed and treated for colitis. After symptomology progressively worsened she was given a sonogram (8/25/2010) that showed "shadows on ovaries". Following readmission (8/30/2010), surgeons on 9/1/2010 removed a mass apparently started in the stomach; they told subject''s sister it was invasive cancer. Hospital admission and multiple chemotherapy courses took place in 9/2010 and 10/2010, then total hysterectomy (1/28/2011) and more chemo (5/2011). On 6/22/2011 she was admitted with diagnosis of ovarian cancer stage III C. Was taking Hyoscine, methadone, and bisacodyl as necessary.

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