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This is VAERS ID 472685

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/13/2012

VAERS ID: 472685
VAERS Form:
Age:15.0
Sex:Female
Location:Georgia
Vaccinated:2012-09-18
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0636AE / 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 12/13/2013

VAERS ID: 472685 Before After
VAERS Form:
Age:15.0 13.0
Sex:Female
Location:Georgia
Vaccinated:2012-09-18 2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0636AE 0216V / 1 0 RA LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 6/14/2014

VAERS ID: 472685 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 7/14/2014

VAERS ID: 472685 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 9/14/2017

VAERS ID: 472685 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 2/14/2018

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 6/14/2018

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 8/14/2018

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 9/14/2018

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 10/14/2018

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 12/24/2020

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 12/30/2020

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 5/7/2021

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.


Changed on 5/14/2021

VAERS ID: 472685 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Georgia
Vaccinated:2010-09-02
Onset:2012-09-22
Submitted:2012-10-27
Entered:2012-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS 0216V / 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Crying, Haematemesis, Headache, Loss of consciousness, Muscle spasms, Panic attack, Pelvic pain, Urticaria, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Adverse event.~HPV (no brand name)~1~13.00~Patient
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Dr. gave 1st HPV 9-2-10. Within a few days, pt. passed out, in 2 weeks passed out again. Spit up blood, bad headaches, stomach ache, hives. Dr. gave her HPV shot; recommended booster in 1 month. She passed out a week later, had panic attack, bad headaches, stomach and pelvic pain, legs cramping up at night. Waking crying, couldn''t walk at first.

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