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This is VAERS ID 523901

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

523901
VAERS Form:
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2009-08-11
Onset:2013-02-26
Submitted:2014-02-25
Entered:2014-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0651X / 2 UN / UN

Administered by: Public      Purchased by: Private
Symptoms: Idiopathic thrombocytopenic purpura

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

Write-up:IDIOPATHIC THROMBOCYTOPENIC PURPURA.


Changed on 9/14/2017

523901 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2009-08-11
Onset:2013-02-26
Submitted:2014-02-25
Entered:2014-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0651X / 2 3 UN / UN

Administered by: Public      Purchased by: Private
Symptoms: Idiopathic thrombocytopenic purpura

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

Write-up:IDIOPATHIC THROMBOCYTOPENIC PURPURA.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=523901&WAYBACKHISTORY=ON


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