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This is VAERS ID 456825

History of Changes from the VAERS Wayback Machine

First Appeared on 6/13/2012

456825
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2012-01-30
Onset:2012-03-05
Submitted:2012-06-05
Entered:2012-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Arthralgia, Pulmonary haemorrhage, Purpura, Respiratory failure, Vasculitis

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Joint pain that progressed over the next couple of weeks to anemia, purpuric rash, vasculitis, pulmonary hemorrhage, respiratory failure.


Changed on 6/14/2014

456825 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2012-01-30
Onset:2012-03-05
Submitted:2012-06-05
Entered:2012-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Arthralgia, Pulmonary haemorrhage, Purpura, Respiratory failure, Vasculitis

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Joint pain that progressed over the next couple of weeks to anemia, purpuric rash, vasculitis, pulmonary hemorrhage, respiratory failure.


Changed on 2/14/2017

456825 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2012-01-30
Onset:2012-03-05
Submitted:2012-06-05
Entered:2012-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Arthralgia, Pulmonary haemorrhage, Purpura, Respiratory failure, Vasculitis

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Joint pain that progressed over the next couple of weeks to anemia, purpuric rash, vasculitis, pulmonary hemorrhage, respiratory failure.


Changed on 9/14/2017

456825 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New Jersey
Vaccinated:2012-01-30
Onset:2012-03-05
Submitted:2012-06-05
Entered:2012-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Arthralgia, Pulmonary haemorrhage, Purpura, Respiratory failure, Vasculitis

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: 20     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Joint pain that progressed over the next couple of weeks to anemia, purpuric rash, vasculitis, pulmonary hemorrhage, respiratory failure.


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