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This is VAERS ID 467018

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2012

467018
VAERS Form:
Age:12.0
Gender:Female
Location:North Carolina
Vaccinated:2011-05-06
Onset:2011-09-01
Submitted:2012-09-29
Entered:2012-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1271Z / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Antinuclear antibody, Blood creatine phosphokinase, Blood thyroid stimulating hormone, Convulsion, Electroencephalogram normal, Full blood count, Insomnia, Muscular weakness, Syncope, Tremor, Urine analysis, Weight decreased, Red blood cell sedimentation rate, Thyroxine free, Decreased appetite, Blood test

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG normal; Just did blood/urine test; CBC; TSH; Free T4; CPK; ANA; Sed rate; U/A; results not in yet
CDC 'Split Type':

Write-up:Seizures. Fainting. Lack of appetite. Insomnia. Weight loss. Muscle weakness. Upset stomach. Shaky hands. Patient is seeing an adolescent Neurologist.


Changed on 9/14/2017

467018 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:North Carolina
Vaccinated:2011-05-06
Onset:2011-09-01
Submitted:2012-09-29
Entered:2012-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1271Z / 0 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Antinuclear antibody, Blood creatine phosphokinase, Blood thyroid stimulating hormone, Convulsion, Electroencephalogram normal, Full blood count, Insomnia, Muscular weakness, Syncope, Tremor, Urine analysis, Weight decreased, Red blood cell sedimentation rate, Thyroxine free, Decreased appetite, Blood test

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG normal; Just did blood/urine test; CBC; TSH; Free T4; CPK; ANA; Sed rate; U/A; results not in yet
CDC 'Split Type':

Write-up:Seizures. Fainting. Lack of appetite. Insomnia. Weight loss. Muscle weakness. Upset stomach. Shaky hands. Patient is seeing an adolescent Neurologist.


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