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This is VAERS ID 517299

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2014

VAERS ID: 517299
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2013-11-27
Onset:2013-11-27
Submitted:2013-12-20
Entered:2013-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J004978 / - UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Dyspepsia, Headache

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions: Constipation; 09/2013, Appendectomy
Diagnostic Lab Data:
CDC 'Split Type': WAES1312IRL008398

Write-up:This case was received from the health authority on 13-Dec-2013. REF 2013-019028. This case is medically confirmed as it was reported by a physician. A 13 year old female patient (weight: 58 kg), who had a tendency to constipation and had a medical history included appendectomy in Sep-2013, received on 27-Nov-2013 an injection of GARDASIL (batch number J004978), dose in series, route and site of administration not reported. Thirty minutes post vaccination, on 27-Nov-2013, the patient experienced a severe headache and heartburn. Corrective treatment included NUROFEN. The patient was attended on 28-Nov-2013 and was reported as being off school since. At the time of reporting, the patient has not recovered from the adverse events. The health authority considered that case serious due to the patient''s disability and due to be medically significant.


Changed on 6/14/2014

VAERS ID: 517299 Before After
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2013-11-27
Onset:2013-11-27
Submitted:2013-12-20
Entered:2013-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J004978 / - UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Dyspepsia, Headache

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions: Constipation; 09/2013, Appendectomy
Diagnostic Lab Data:
CDC 'Split Type': WAES1312IRL008398

Write-up:This case was received from the health authority on 13-Dec-2013. REF 2013-019028. This case is medically confirmed as it was reported by a physician. A 13 year old female patient (weight: 58 kg), who had a tendency to constipation and had a medical history included appendectomy in Sep-2013, received on 27-Nov-2013 an injection of GARDASIL (batch number J004978), dose in series, route and site of administration not reported. Thirty minutes post vaccination, on 27-Nov-2013, the patient experienced a severe headache and heartburn. Corrective treatment included NUROFEN. The patient was attended on 28-Nov-2013 and was reported as being off school since. At the time of reporting, the patient has not recovered from the adverse events. The health authority considered that case serious due to the patient''s disability and due to be medically significant.


Changed on 3/14/2015

VAERS ID: 517299 Before After
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2013-11-27
Onset:2013-11-27
Submitted:2013-12-20
Entered:2013-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J004978 / - UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Dyspepsia, Headache

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions: Constipation; 09/2013, Appendectomy
Diagnostic Lab Data:
CDC 'Split Type': WAES1312IRL008398

Write-up:This case was received from the health authority on 13-Dec-2013. REF 2013-019028. This case is medically confirmed as it was reported by a physician. A 13 year old female patient (weight: 58 kg), who had a tendency to constipation and had a medical history included appendectomy in Sep-2013, received on 27-Nov-2013 an injection of GARDASIL (batch number J004978), dose in series, route and site of administration not reported. Thirty minutes post vaccination, on 27-Nov-2013, the patient experienced a severe headache and heartburn. Corrective treatment included NUROFEN. The patient was attended on 28-Nov-2013 and was reported as being off school since. At the time of reporting, the patient has not recovered from the adverse events. The health authority considered that case serious due to the patient''s disability and due to be medically significant.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=517299&WAYBACKHISTORY=ON


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