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This is VAERS ID 467780

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2012

VAERS ID: 467780
VAERS Form:
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.


Changed on 9/14/2017

VAERS ID: 467780 Before After
VAERS Form:(blank) 1
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.


Changed on 2/14/2018

VAERS ID: 467780 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.


Changed on 6/14/2018

VAERS ID: 467780 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.


Changed on 8/14/2018

VAERS ID: 467780 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.


Changed on 9/14/2018

VAERS ID: 467780 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.


Changed on 10/14/2018

VAERS ID: 467780 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Foreign
Vaccinated:2005-11-01
Onset:2010-01-15
Submitted:2012-10-04
Entered:2012-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS - / 3 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Biopsy stomach abnormal, Gastric cancer, Metastases to ovary, Radiotherapy, Chemotherapy, Gastrectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2012-07-12
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: In 11/2009, subject reported onset of severe epigastralgia and was examined and biopsied on 01/15/2010. After receiving Dx of gastric cancer, had complete gastrectomy on 2/9/2010 and 45 day hospital stay. Was also hospitalized in 4/2010 for chemotherapy and radiotherapy, and discharged on 5/26/2010. Followed up with specialist, chemotherapy, and metoclopramide daily. Mother reported subject received Dx of ovarian metastasis in 4/2011, and additional chemotherapy was not successful.

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