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This is VAERS ID 515318

History of Changes from the VAERS Wayback Machine

First Appeared on 12/13/2013

515318
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2008-11-24
Onset:2008-11-24
Submitted:2013-12-02
Entered:2013-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: .
CDC 'Split Type':

Write-up:Pain.


Changed on 1/13/2014

515318 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2008-11-24
Onset:2008-11-24
Submitted:2013-12-02
Entered:2013-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - UN / - UN

Administered by: Private      Purchased by: Private
Symptoms: Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: .
CDC 'Split Type':

Write-up:Pain.


Changed on 3/14/2014

515318 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2008-11-24
Onset:2008-11-24
Submitted:2013-12-02
Entered:2013-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: .
CDC 'Split Type':

Write-up:Pain.


Changed on 6/14/2014

515318 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2008-11-24
Onset:2008-11-24
Submitted:2013-12-02
Entered:2013-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Pain

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: .
CDC 'Split Type':

Write-up:Pain.


Changed on 3/14/2015

515318 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2008-11-24
Onset:2008-11-24
Submitted:2013-12-02
Entered:2013-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Pain

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: .
CDC 'Split Type':

Write-up:Pain.


Changed on 9/14/2017

515318 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:California
Vaccinated:2008-11-24
Onset:2008-11-24
Submitted:2013-12-02
Entered:2013-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Pain

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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: .
CDC 'Split Type':

Write-up:Pain.


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