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This is VAERS ID 456857

History of Changes from the VAERS Wayback Machine

First Appeared on 6/13/2012

VAERS ID: 456857
Age:11.0
Gender:Female
Location:Oregon
Vaccinated:2007-12-05
Onset:2008-07-01
Submitted:2012-06-01
Entered:2012-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500576P / 0 - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 0 AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Back pain, Blindness, Convulsion, Gene mutation identification test

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 54     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Gene mutation Polg.
CDC 'Split Type':

Write-up:GARDASIL vaccine giving 12/5/07 and second injection 3/5/08. Chronic stomach pain noted for several months. Dr seen 10/24/08 for stomach pain. 3rd GARDASIL shot giving 11/12/08. Chronic stomach pain continues medical involvement continues for stomach pain. Patient seen 5/09 for severe back pain. Stomach pain continues until April 6, 2010 when patient stricken with seizures, hospitalization, blindness.


Changed on 7/7/2013

VAERS ID: 456857 Before After
Age:11.0
Gender:Female
Location:Oregon
Vaccinated:2007-12-05
Onset:2008-07-01
Submitted:2012-06-01
Entered:2012-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500576P / 0 - / IN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500576P / 0 - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 0 AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Back pain, Blindness, Convulsion, Gene mutation identification test

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 54     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Gene mutation Polg.
CDC 'Split Type':

Write-up:GARDASIL vaccine giving 12/5/07 and second injection 3/5/08. Chronic stomach pain noted for several months. Dr seen 10/24/08 for stomach pain. 3rd GARDASIL shot giving 11/12/08. Chronic stomach pain continues medical involvement continues for stomach pain. Patient seen 5/09 for severe back pain. Stomach pain continues until April 6, 2010 when patient stricken with seizures, hospitalization, blindness.


Changed on 6/14/2014

VAERS ID: 456857 Before After
Age:11.0
Gender:Female
Location:Oregon
Vaccinated:2007-12-05
Onset:2008-07-01
Submitted:2012-06-01
Entered:2012-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500576P / 0 - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 0 AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Back pain, Blindness, Convulsion, Gene mutation identification test

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 54     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Gene mutation Polg.
CDC 'Split Type':

Write-up:GARDASIL vaccine giving 12/5/07 and second injection 3/5/08. Chronic stomach pain noted for several months. Dr seen 10/24/08 for stomach pain. 3rd GARDASIL shot giving 11/12/08. Chronic stomach pain continues medical involvement continues for stomach pain. Patient seen 5/09 for severe back pain. Stomach pain continues until April 6, 2010 when patient stricken with seizures, hospitalization, blindness.


Changed on 7/14/2014

VAERS ID: 456857 Before After
Age:11.0
Gender:Female
Location:Oregon
Vaccinated:2007-12-05
Onset:2008-07-01
Submitted:2012-06-01
Entered:2012-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500576P / 0 - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 0 AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Back pain, Blindness, Convulsion, Gene mutation identification test

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 54     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Gene mutation Polg.
CDC 'Split Type':

Write-up:GARDASIL vaccine giving 12/5/07 and second injection 3/5/08. Chronic stomach pain noted for several months. Dr seen 10/24/08 for stomach pain. 3rd GARDASIL shot giving 11/12/08. Chronic stomach pain continues medical involvement continues for stomach pain. Patient seen 5/09 for severe back pain. Stomach pain continues until April 6, 2010 when patient stricken with seizures, hospitalization, blindness.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=456857&WAYBACKHISTORY=ON


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