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This is VAERS ID 521180

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

521180
VAERS Form:
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2008-02-22
Onset:2008-11-19
Submitted:2014-01-09
Entered:2014-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Biopsy site unspecified normal, Cholecystectomy, Colonoscopy normal, Gallbladder non-functioning, Vomiting, Weight decreased, Type 1 diabetes mellitus, Oesophagogastroduodenoscopy normal

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Admitted to hospital on diagnosis of Type 1 diabetes, Hospital work up and treatment for stomach pain has included a cholecystectomy for an atonic gallbladder, now s/p colonoscopy and EGD with negative biopsies
CDC 'Split Type':

Write-up:Developed type 1 diabetes after first HPV and severe stomach pain with recurrent vomiting and weight loss x $g1 year after second.


Changed on 7/14/2014

521180 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2008-02-22
Onset:2008-11-19
Submitted:2014-01-09
Entered:2014-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Biopsy site unspecified normal, Cholecystectomy, Colonoscopy normal, Gallbladder non-functioning, Vomiting, Weight decreased, Type 1 diabetes mellitus, Oesophagogastroduodenoscopy normal

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? Yes, days: (blank) 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Admitted to hospital on diagnosis of Type 1 diabetes, Hospital work up and treatment for stomach pain has included a cholecystectomy for an atonic gallbladder, now s/p colonoscopy and EGD with negative biopsies
CDC 'Split Type':

Write-up:Developed type 1 diabetes after first HPV and severe stomach pain with recurrent vomiting and weight loss x $g1 year after second.


Changed on 9/14/2017

521180 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2008-02-22
Onset:2008-11-19
Submitted:2014-01-09
Entered:2014-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 0 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Biopsy site unspecified normal, Cholecystectomy, Colonoscopy normal, Gallbladder non-functioning, Vomiting, Weight decreased, Type 1 diabetes mellitus, Oesophagogastroduodenoscopy normal

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? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Admitted to hospital on diagnosis of Type 1 diabetes, Hospital work up and treatment for stomach pain has included a cholecystectomy for an atonic gallbladder, now s/p colonoscopy and EGD with negative biopsies
CDC 'Split Type':

Write-up:Developed type 1 diabetes after first HPV and severe stomach pain with recurrent vomiting and weight loss x $g1 year after second.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=521180&WAYBACKHISTORY=ON


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