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This is VAERS ID 478181

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2013

VAERS ID: 478181
VAERS Form:
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 0 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / - LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 6/14/2014

VAERS ID: 478181 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 0 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / - LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 3/14/2015

VAERS ID: 478181 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 0 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / - LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 9/14/2017

VAERS ID: 478181 Before After
VAERS Form:(blank) 1
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 0 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / - UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 2/14/2018

VAERS ID: 478181 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 6/14/2018

VAERS ID: 478181 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 8/14/2018

VAERS ID: 478181 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 9/14/2018

VAERS ID: 478181 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


Changed on 10/14/2018

VAERS ID: 478181 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Texas
Vaccinated:2011-03-22
Onset:2011-03-22
Submitted:2012-12-14
Entered:2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased

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: 14     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=478181&WAYBACKHISTORY=ON


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