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This is VAERS ID 503294

History of Changes from the VAERS Wayback Machine

First Appeared on 10/13/2013

503294
VAERS Form:
Age:15.0
Gender:Female
Location:Washington
Vaccinated:2007-08-14
Onset:2007-08-14
Submitted:2013-09-15
Entered:2013-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 AR / UN

Administered by: Private      Purchased by: Public
Symptoms: Abdominal distension, Abdominal pain upper, Abnormal loss of weight, Alopecia, Anxiety, Arthralgia, Autism, Back pain, Blindness, Blindness unilateral, Blister, Bone pain, Chest pain, Chronic fatigue syndrome, Coccydynia, Computerised tomogram, Constipation, Convulsion, Deafness, Depression, Diarrhoea, Dizziness, Dysarthria, Dyslexia, Dyspnoea, Electroencephalogram, Erythema, Fatigue, Feeling abnormal, Hallucination, Headache, Hemiplegia, Hepatomegaly, Hyperacusis, Influenza like illness, Injection site pain, Injection site pruritus, Local swelling, Lumbar puncture, Migraine, Muscle spasms, Muscle twitching, Myalgia, Nausea, Neoplasm, Neuralgia, Nuclear magnetic resonance imaging, Oedema, Pallor, Panic attack, Paraesthesia, Parosmia, Personality change, Photophobia, Pneumonia, Pruritus, Pyrexia, Rash, Renal disorder, Sleep disorder, Swelling, Syncope, Thrombosis, Tooth disorder, Tremor, Urinary incontinence, Urinary tract infection, Uterine spasm, Vomiting, Abasia, Muscle tightness, Activities of daily living impaired, Temperature intolerance, Multiple chemical sensitivity, Laboratory test, Bladder disorder, Tumour excision, Decreased appetite, Feeling of body temperature change, Blood test, Oropharyngeal pain, Functional gastrointestinal disorder

Life Threatening? Yes
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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG''s; Numerous testing. Blood work, MRI''s, CAT scans, lumbar punctures.
CDC 'Split Type':

Write-up:August 14, 2007 - lot # 0384U - afternoon shot injection site itchy, sore. Flu like symptoms. Sore joints and muscles in the months to follow. Exhaustion. Dr.''s office said the symptoms were normal. November 14, 2007 - lot # 0927U - afternoon shot. Injection site more itchy, sore, red, swelling. Flu like symptoms for days. Sore joints and muscles, headaches, hair loss, exhaustion. Dr. office was not worried about symptoms. February 14, 2008 - lot # 12APR10 - vomiting, shaking, feverish, itchy/sore injection site, redness, swelling entire arm. Sore joints, muscles, fatigue, hair loss (more) migraine, home from school 1 1/2 wks flu like symptoms. Many, many, many Dr. visits, hospitalization ER visits until October 2009 when she became paralyzed on right side, loss of vision, hearing loss. Stay for couple weeks, home recovery. Learned to walk again. Repeat of above January 2011. Week stay. Hospitalization for seizures (4 days). Medical diagnoses: Perfectly healthy until GARDASIL now suffers daily from: Leaky Gut Syndrome, pins/needles in extremities, dizziness, dental issues, brain fog, sensitivities to chemicals, chest pains, constipation/diarrhea, enlarged liver, sound sensitivity, anxiety, extreme pain tailbone, fainting, fevers and blisters, back pain, hot/cold intolerance, sleep problems, itching, joint pain, knee pain, light sensitivity, blindness (right side), depression, personality changes, panic attacks, loss of bladder control, bladder issues, muscle aches, spasms, muscle tension tumor in left tibia, paleness, chronic fatigue syndrome paralysis, pneumonia, severe nerve pain, shortness of breath, slurred speech, smell sensitivity, sore throat stomach pain, swelling/edema, tremors, random twitching of extremities, bloating, uterine spasms, blood clotting, numerous UTI''s, kidney problems, vision loss, stomach aches, nausea, rashes, appetite loss, vomiting, dyslexia, hallucinations, large weight loss, seizures, autistic behaviors. Tumor removed December 2010.


Changed on 11/13/2013

503294 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Washington
Vaccinated:2007-08-14
Onset:2007-08-14
Submitted:2013-09-15
Entered:2013-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 AR / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Abdominal distension, Abdominal pain upper, Abnormal loss of weight, Alopecia, Anxiety, Arthralgia, Autism, Back pain, Blindness, Blindness unilateral, Blister, Bone pain, Chest pain, Chronic fatigue syndrome, Coccydynia, Computerised tomogram, Constipation, Convulsion, Deafness, Depression, Diarrhoea, Dizziness, Dysarthria, Dyslexia, Dyspnoea, Electroencephalogram, Erythema, Fatigue, Feeling abnormal, Hallucination, Headache, Hemiplegia, Hepatomegaly, Hyperacusis, Influenza like illness, Injection site pain, Injection site pruritus, Local swelling, Lumbar puncture, Migraine, Muscle spasms, Muscle twitching, Myalgia, Nausea, Neoplasm, Neuralgia, Nuclear magnetic resonance imaging, Oedema, Pallor, Panic attack, Paraesthesia, Parosmia, Personality change, Photophobia, Pneumonia, Pruritus, Pyrexia, Rash, Renal disorder, Sleep disorder, Swelling, Syncope, Thrombosis, Tooth disorder, Tremor, Urinary incontinence, Urinary tract infection, Uterine spasm, Vomiting, Abasia, Muscle tightness, Activities of daily living impaired, Temperature intolerance, Multiple chemical sensitivity, Laboratory test, Bladder disorder, Tumour excision, Decreased appetite, Feeling of body temperature change, Blood test, Oropharyngeal pain, Functional gastrointestinal disorder

Life Threatening? Yes
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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG''s; Numerous testing. Blood work, MRI''s, CAT scans, lumbar punctures.
CDC 'Split Type':

Write-up:August 14, 2007 - lot # 0384U - afternoon shot injection site itchy, sore. Flu like symptoms. Sore joints and muscles in the months to follow. Exhaustion. Dr.''s office said the symptoms were normal. November 14, 2007 - lot # 0927U - afternoon shot. Injection site more itchy, sore, red, swelling. Flu like symptoms for days. Sore joints and muscles, headaches, hair loss, exhaustion. Dr. office was not worried about symptoms. February 14, 2008 - lot # 12APR10 - vomiting, shaking, feverish, itchy/sore injection site, redness, swelling entire arm. Sore joints, muscles, fatigue, hair loss (more) migraine, home from school 1 1/2 wks flu like symptoms. Many, many, many Dr. visits, hospitalization ER visits until October 2009 when she became paralyzed on right side, loss of vision, hearing loss. Stay for couple weeks, home recovery. Learned to walk again. Repeat of above January 2011. Week stay. Hospitalization for seizures (4 days). Medical diagnoses: Perfectly healthy until GARDASIL now suffers daily from: Leaky Gut Syndrome, pins/needles in extremities, dizziness, dental issues, brain fog, sensitivities to chemicals, chest pains, constipation/diarrhea, enlarged liver, sound sensitivity, anxiety, extreme pain tailbone, fainting, fevers and blisters, back pain, hot/cold intolerance, sleep problems, itching, joint pain, knee pain, light sensitivity, blindness (right side), depression, personality changes, panic attacks, loss of bladder control, bladder issues, muscle aches, spasms, muscle tension tumor in left tibia, paleness, chronic fatigue syndrome paralysis, pneumonia, severe nerve pain, shortness of breath, slurred speech, smell sensitivity, sore throat stomach pain, swelling/edema, tremors, random twitching of extremities, bloating, uterine spasms, blood clotting, numerous UTI''s, kidney problems, vision loss, stomach aches, nausea, rashes, appetite loss, vomiting, dyslexia, hallucinations, large weight loss, seizures, autistic behaviors. Tumor removed December 2010.


Changed on 3/14/2014

503294 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Washington
Vaccinated:2007-08-14
Onset:2007-08-14
Submitted:2013-09-15
Entered:2013-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 AR / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Abdominal distension, Abdominal pain upper, Abnormal loss of weight, Alopecia, Anxiety, Arthralgia, Autism, Back pain, Blindness, Blindness unilateral, Blister, Bone pain, Chest pain, Chronic fatigue syndrome, Coccydynia, Computerised tomogram, Constipation, Convulsion, Deafness, Depression, Diarrhoea, Dizziness, Dysarthria, Dyslexia, Dyspnoea, Electroencephalogram, Erythema, Fatigue, Feeling abnormal, Hallucination, Headache, Hemiplegia, Hepatomegaly, Hyperacusis, Influenza like illness, Injection site pain, Injection site pruritus, Local swelling, Lumbar puncture, Migraine, Muscle spasms, Muscle twitching, Myalgia, Nausea, Neoplasm, Neuralgia, Nuclear magnetic resonance imaging, Oedema, Pallor, Panic attack, Paraesthesia, Parosmia, Personality change, Photophobia, Pneumonia, Pruritus, Pyrexia, Rash, Renal disorder, Sleep disorder, Swelling, Syncope, Thrombosis, Tooth disorder, Tremor, Urinary incontinence, Urinary tract infection, Uterine spasm, Vomiting, Abasia, Muscle tightness, Activities of daily living impaired, Temperature intolerance, Multiple chemical sensitivity, Laboratory test, Bladder disorder, Tumour excision, Decreased appetite, Feeling of body temperature change, Blood test, Oropharyngeal pain, Functional gastrointestinal disorder

Life Threatening? Yes
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: (blank) 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG''s; Numerous testing. Blood work, MRI''s, CAT scans, lumbar punctures.
CDC 'Split Type':

Write-up:August 14, 2007 - lot # 0384U - afternoon shot injection site itchy, sore. Flu like symptoms. Sore joints and muscles in the months to follow. Exhaustion. Dr.''s office said the symptoms were normal. November 14, 2007 - lot # 0927U - afternoon shot. Injection site more itchy, sore, red, swelling. Flu like symptoms for days. Sore joints and muscles, headaches, hair loss, exhaustion. Dr. office was not worried about symptoms. February 14, 2008 - lot # 12APR10 - vomiting, shaking, feverish, itchy/sore injection site, redness, swelling entire arm. Sore joints, muscles, fatigue, hair loss (more) migraine, home from school 1 1/2 wks flu like symptoms. Many, many, many Dr. visits, hospitalization ER visits until October 2009 when she became paralyzed on right side, loss of vision, hearing loss. Stay for couple weeks, home recovery. Learned to walk again. Repeat of above January 2011. Week stay. Hospitalization for seizures (4 days). Medical diagnoses: Perfectly healthy until GARDASIL now suffers daily from: Leaky Gut Syndrome, pins/needles in extremities, dizziness, dental issues, brain fog, sensitivities to chemicals, chest pains, constipation/diarrhea, enlarged liver, sound sensitivity, anxiety, extreme pain tailbone, fainting, fevers and blisters, back pain, hot/cold intolerance, sleep problems, itching, joint pain, knee pain, light sensitivity, blindness (right side), depression, personality changes, panic attacks, loss of bladder control, bladder issues, muscle aches, spasms, muscle tension tumor in left tibia, paleness, chronic fatigue syndrome paralysis, pneumonia, severe nerve pain, shortness of breath, slurred speech, smell sensitivity, sore throat stomach pain, swelling/edema, tremors, random twitching of extremities, bloating, uterine spasms, blood clotting, numerous UTI''s, kidney problems, vision loss, stomach aches, nausea, rashes, appetite loss, vomiting, dyslexia, hallucinations, large weight loss, seizures, autistic behaviors. Tumor removed December 2010.


Changed on 9/14/2017

503294 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Washington
Vaccinated:2007-08-14
Onset:2007-08-14
Submitted:2013-09-15
Entered:2013-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 1 AR / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 1 RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Abdominal distension, Abdominal pain upper, Abnormal loss of weight, Alopecia, Anxiety, Arthralgia, Autism, Back pain, Blindness, Blindness unilateral, Blister, Bone pain, Chest pain, Chronic fatigue syndrome, Coccydynia, Computerised tomogram, Constipation, Convulsion, Deafness, Depression, Diarrhoea, Dizziness, Dysarthria, Dyslexia, Dyspnoea, Electroencephalogram, Erythema, Fatigue, Feeling abnormal, Hallucination, Headache, Hemiplegia, Hepatomegaly, Hyperacusis, Influenza like illness, Injection site pain, Injection site pruritus, Local swelling, Lumbar puncture, Migraine, Muscle spasms, Muscle twitching, Myalgia, Nausea, Neoplasm, Neuralgia, Nuclear magnetic resonance imaging, Oedema, Pallor, Panic attack, Paraesthesia, Parosmia, Personality change, Photophobia, Pneumonia, Pruritus, Pyrexia, Rash, Renal disorder, Sleep disorder, Swelling, Syncope, Thrombosis, Tooth disorder, Tremor, Urinary incontinence, Urinary tract infection, Uterine spasm, Vomiting, Abasia, Muscle tightness, Activities of daily living impaired, Temperature intolerance, Multiple chemical sensitivity, Laboratory test, Bladder disorder, Tumour excision, Decreased appetite, Feeling of body temperature change, Blood test, Oropharyngeal pain, Functional gastrointestinal disorder

Life Threatening? Yes
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: 8     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG''s; Numerous testing. Blood work, MRI''s, CAT scans, lumbar punctures.
CDC 'Split Type':

Write-up:August 14, 2007 - lot # 0384U - afternoon shot injection site itchy, sore. Flu like symptoms. Sore joints and muscles in the months to follow. Exhaustion. Dr.''s office said the symptoms were normal. November 14, 2007 - lot # 0927U - afternoon shot. Injection site more itchy, sore, red, swelling. Flu like symptoms for days. Sore joints and muscles, headaches, hair loss, exhaustion. Dr. office was not worried about symptoms. February 14, 2008 - lot # 12APR10 - vomiting, shaking, feverish, itchy/sore injection site, redness, swelling entire arm. Sore joints, muscles, fatigue, hair loss (more) migraine, home from school 1 1/2 wks flu like symptoms. Many, many, many Dr. visits, hospitalization ER visits until October 2009 when she became paralyzed on right side, loss of vision, hearing loss. Stay for couple weeks, home recovery. Learned to walk again. Repeat of above January 2011. Week stay. Hospitalization for seizures (4 days). Medical diagnoses: Perfectly healthy until GARDASIL now suffers daily from: Leaky Gut Syndrome, pins/needles in extremities, dizziness, dental issues, brain fog, sensitivities to chemicals, chest pains, constipation/diarrhea, enlarged liver, sound sensitivity, anxiety, extreme pain tailbone, fainting, fevers and blisters, back pain, hot/cold intolerance, sleep problems, itching, joint pain, knee pain, light sensitivity, blindness (right side), depression, personality changes, panic attacks, loss of bladder control, bladder issues, muscle aches, spasms, muscle tension tumor in left tibia, paleness, chronic fatigue syndrome paralysis, pneumonia, severe nerve pain, shortness of breath, slurred speech, smell sensitivity, sore throat stomach pain, swelling/edema, tremors, random twitching of extremities, bloating, uterine spasms, blood clotting, numerous UTI''s, kidney problems, vision loss, stomach aches, nausea, rashes, appetite loss, vomiting, dyslexia, hallucinations, large weight loss, seizures, autistic behaviors. Tumor removed December 2010.


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