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This is VAERS ID 495614

History of Changes from the VAERS Wayback Machine

First Appeared on 8/12/2013

495614
VAERS Form:
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2010-08-03
Onset:0000-00-00
Submitted:2013-06-27
Entered:2013-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Acne, Arthralgia, Back pain, Barium swallow, Cardiovascular disorder, Chest pain, Computerised tomogram, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Hair colour changes, Melanocytic naevus, Memory impairment, Pain in extremity, Panic attack, Raynaud's phenomenon, Skin ulcer, Weight decreased, X-ray, X-ray with contrast upper gastrointestinal tract, Musculoskeletal chest pain, Decreased appetite, Blood test, Stomach scan

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? Yes, days: 7     Extended hospital stay? Yes
Previous Vaccinations: Joint pain.~HPV (no brand name)~2~13.00~Patient|Autoimmune headaches.~HPV (no brand name)~3~14.00~Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: None - Perfectly healthy before HPV
Allergies:
Diagnostic Lab Data: X-rays; C-scan; Upper GI; Stomach scope; ER visits (3); blood work; Barium swallow; Physical therapy; Week in the hospital; Acne on back; White spots around moles
CDC 'Split Type':

Write-up:Memory problems, joint pain, rib and chest pain, ulcers on fingers, bad circulation, Raynaud''s, back and leg pain, extreme tiredness, loss of appetite, weight loss, strands of grey hair, panic attack, depression - more symptoms continued to pop-up - nothing has been cured.


Changed on 9/17/2013

495614 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2010-08-03
Onset:0000-00-00 2011-04-01
Submitted:2013-06-27
Entered:2013-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Acne, Arthralgia, Back pain, Barium swallow, Cardiovascular disorder, Chest pain, Computerised tomogram, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Hair colour changes, Melanocytic naevus, Memory impairment, Pain in extremity, Panic attack, Raynaud's phenomenon, Skin ulcer, Weight decreased, X-ray, X-ray with contrast upper gastrointestinal tract, Musculoskeletal chest pain, Decreased appetite, Blood test, Stomach scan

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? Yes, days: 7 1     Extended hospital stay? Yes
Previous Vaccinations: Joint pain.~HPV (no brand name)~2~13.00~Patient|Autoimmune headaches.~HPV (no brand name)~3~14.00~Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: None - Perfectly healthy before HPV
Allergies:
Diagnostic Lab Data: X-rays; C-scan; Upper GI; Stomach scope; ER visits (3); blood work; Barium swallow; Physical therapy; Week in the hospital; Acne on back; White spots around moles
CDC 'Split Type':

Write-up:Memory problems, joint pain, rib and chest pain, ulcers on fingers, bad circulation, Raynaud''s, back and leg pain, extreme tiredness, loss of appetite, weight loss, strands of grey hair, panic attack, depression - more symptoms continued to pop-up - nothing has been cured.


Changed on 6/14/2014

495614 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2010-08-03
Onset:2011-04-01
Submitted:2013-06-27
Entered:2013-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Acne, Arthralgia, Back pain, Barium swallow, Cardiovascular disorder, Chest pain, Computerised tomogram, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Hair colour changes, Melanocytic naevus, Memory impairment, Pain in extremity, Panic attack, Raynaud's phenomenon, Skin ulcer, Weight decreased, X-ray, X-ray with contrast upper gastrointestinal tract, Musculoskeletal chest pain, Decreased appetite, Blood test, Stomach scan

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? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations: Joint pain.~HPV (no brand name)~2~13.00~Patient|Autoimmune headaches.~HPV (no brand name)~3~14.00~Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: None - Perfectly healthy before HPV
Allergies:
Diagnostic Lab Data: X-rays; C-scan; Upper GI; Stomach scope; ER visits (3); blood work; Barium swallow; Physical therapy; Week in the hospital; Acne on back; White spots around moles
CDC 'Split Type':

Write-up:Memory problems, joint pain, rib and chest pain, ulcers on fingers, bad circulation, Raynaud''s, back and leg pain, extreme tiredness, loss of appetite, weight loss, strands of grey hair, panic attack, depression - more symptoms continued to pop-up - nothing has been cured.


Changed on 3/14/2015

495614 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2010-08-03
Onset:2011-04-01
Submitted:2013-06-27
Entered:2013-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Acne, Arthralgia, Back pain, Barium swallow, Cardiovascular disorder, Chest pain, Computerised tomogram, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Hair colour changes, Melanocytic naevus, Memory impairment, Pain in extremity, Panic attack, Raynaud's phenomenon, Skin ulcer, Weight decreased, X-ray, X-ray with contrast upper gastrointestinal tract, Musculoskeletal chest pain, Decreased appetite, Blood test, Stomach scan

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? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations: Joint pain.~HPV (no brand name)~2~13.00~Patient|Autoimmune headaches.~HPV (no brand name)~3~14.00~Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: None - Perfectly healthy before HPV
Allergies:
Diagnostic Lab Data: X-rays; C-scan; Upper GI; Stomach scope; ER visits (3); blood work; Barium swallow; Physical therapy; Week in the hospital; Acne on back; White spots around moles
CDC 'Split Type':

Write-up:Memory problems, joint pain, rib and chest pain, ulcers on fingers, bad circulation, Raynaud''s, back and leg pain, extreme tiredness, loss of appetite, weight loss, strands of grey hair, panic attack, depression - more symptoms continued to pop-up - nothing has been cured.


Changed on 9/14/2017

495614 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2010-08-03
Onset:2011-04-01
Submitted:2013-06-27
Entered:2013-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Acne, Arthralgia, Back pain, Barium swallow, Cardiovascular disorder, Chest pain, Computerised tomogram, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Hair colour changes, Melanocytic naevus, Memory impairment, Pain in extremity, Panic attack, Raynaud's phenomenon, Skin ulcer, Weight decreased, X-ray, X-ray with contrast upper gastrointestinal tract, Musculoskeletal chest pain, Decreased appetite, Blood test, Stomach scan

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? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations: Joint pain.~HPV (no brand name)~2~13.00~Patient|Autoimmune headaches.~HPV (no brand name)~3~14.00~Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: None - Perfectly healthy before HPV
Allergies:
Diagnostic Lab Data: X-rays; C-scan; Upper GI; Stomach scope; ER visits (3); blood work; Barium swallow; Physical therapy; Week in the hospital; Acne on back; White spots around moles
CDC 'Split Type':

Write-up:Memory problems, joint pain, rib and chest pain, ulcers on fingers, bad circulation, Raynaud''s, back and leg pain, extreme tiredness, loss of appetite, weight loss, strands of grey hair, panic attack, depression - more symptoms continued to pop-up - nothing has been cured.


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