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This is VAERS ID 534568

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2014

VAERS ID: 534568
VAERS Form:
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 8/14/2014

VAERS ID: 534568 Before After
VAERS Form:
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 3 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 9/14/2017

VAERS ID: 534568 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 2 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 2/14/2018

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 6/14/2018

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 8/14/2018

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 9/14/2018

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 10/14/2018

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 12/24/2020

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 12/30/2020

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 5/7/2021

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


Changed on 5/14/2021

VAERS ID: 534568 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:New Jersey
Vaccinated:2014-03-20
Onset:2014-04-28
Submitted:2014-06-21
Entered:2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC 'Split Type':

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=534568&WAYBACKHISTORY=ON


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