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This is VAERS ID 528923

History of Changes from the VAERS Wayback Machine

First Appeared on 5/16/2014

VAERS ID: 528923
Age:15.0
Gender:Male
Location:New York
Vaccinated:2011-03-08
Onset:2011-03-20
Submitted:2014-04-14
Entered:2014-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0664Z / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Delusional perception, Electroencephalogram normal, Hallucination, Headache, Pyrexia, Staring, Vomiting, Drug screen negative, Psychotic disorder, Immediate post-injection reaction, Computerised tomogram head normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: EEG, CAT scan of brain, Street Drug Tested - negative
CDC 'Split Type':

Write-up:Immediate upset stomach, headache, fever - eleven days later - vomiting, hallucinating and delusional, 6 hour vertical blank stare, loss of faculties - full psychotic break. 4 wk. hospitalized and again 6 months later.


Changed on 6/14/2014

VAERS ID: 528923 Before After
Age:15.0
Gender:Male
Location:New York
Vaccinated:2011-03-08
Onset:2011-03-20
Submitted:2014-04-14
Entered:2014-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0664Z / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Delusional perception, Electroencephalogram normal, Hallucination, Headache, Pyrexia, Staring, Vomiting, Drug screen negative, Psychotic disorder, Immediate post-injection reaction, Computerised tomogram head normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: EEG, CAT scan of brain, Street Drug Tested - negative
CDC 'Split Type':

Write-up:Immediate upset stomach, headache, fever - eleven days later - vomiting, hallucinating and delusional, 6 hour vertical blank stare, loss of faculties - full psychotic break. 4 wk. hospitalized and again 6 months later.


Changed on 3/14/2015

VAERS ID: 528923 Before After
Age:15.0
Gender:Male
Location:New York
Vaccinated:2011-03-08
Onset:2011-03-20
Submitted:2014-04-14
Entered:2014-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0664Z / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal discomfort, Delusional perception, Electroencephalogram normal, Hallucination, Headache, Pyrexia, Staring, Vomiting, Drug screen negative, Psychotic disorder, Immediate post-injection reaction, Computerised tomogram head normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: EEG, CAT scan of brain, Street Drug Tested - negative
CDC 'Split Type':

Write-up:Immediate upset stomach, headache, fever - eleven days later - vomiting, hallucinating and delusional, 6 hour vertical blank stare, loss of faculties - full psychotic break. 4 wk. hospitalized and again 6 months later.


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