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This is VAERS ID 455890

History of Changes from the VAERS Wayback Machine

First Appeared on 6/13/2012

455890
VAERS Form:
Age:10.0
Gender:Female
Location:New York
Vaccinated:2012-03-09
Onset:2012-05-21
Submitted:2012-05-21
Entered:2012-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 UN / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Educational problem, Memory impairment, Activities of daily living impaired, Abnormal behaviour

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:
Current Illness: None
Preexisting Conditions: Hashimoto''s thyroiditis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Mother called office states within days of receiving 3rd dose of GARDASIL pt started to have behavior changes ie pt. went from being an honor student to failing all classes, having memory problems. Doesn''t remember to rinse shampoo from hair, puts on socks inside out, drawing on toys etc.


Changed on 9/14/2017

455890 Before After
VAERS Form:(blank) 1
Age:10.0
Gender:Female
Location:New York
Vaccinated:2012-03-09
Onset:2012-05-21
Submitted:2012-05-21
Entered:2012-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 3 UN / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Educational problem, Memory impairment, Activities of daily living impaired, Abnormal behaviour

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:
Current Illness: None
Preexisting Conditions: Hashimoto''s thyroiditis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Mother called office states within days of receiving 3rd dose of GARDASIL pt started to have behavior changes ie pt. went from being an honor student to failing all classes, having memory problems. Doesn''t remember to rinse shampoo from hair, puts on socks inside out, drawing on toys etc.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=455890&WAYBACKHISTORY=ON


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