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This is VAERS ID 527628

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2014

VAERS ID: 527628
Age:13.0
Gender:Male
Location:Pennsylvania
Vaccinated:2011-10-03
Onset:2011-10-04
Submitted:2014-04-04
Entered:2014-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / SYR
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1261AA / 1 AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Fatigue, Headache, Myalgia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Just recovered from Pnuemonia and was exposed to 2nd virus that gave him a headache and body aches 2 days before shot
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Severe head pain, sore muscles, weak and tired.


Changed on 7/14/2014

VAERS ID: 527628 Before After
Age:13.0
Gender:Male
Location:Pennsylvania
Vaccinated:2011-10-03
Onset:2011-10-04
Submitted:2014-04-04
Entered:2014-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) INFLUENZA (SEASONAL) (FLUZONE) / UNKNOWN MANUFACTURER SANOFI PASTEUR - UH455AD / 1 0 AR UN / SYR UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1261AA / 1 0 AR UN / SYR UN

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Fatigue, Headache, Myalgia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No Yes, days: (blank) 18     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Just recovered from Pnuemonia and was exposed to 2nd virus that gave him a headache and body aches 2 days before shot
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Severe head pain, sore muscles, weak and tired.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=527628&WAYBACKHISTORY=ON


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