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This is VAERS ID 538314

History of Changes from the VAERS Wayback Machine

First Appeared on 8/14/2014

VAERS ID: 538314
VAERS Form:
Age:13.0
Gender:Male
Location:New York
Vaccinated:2014-02-22
Onset:2014-03-02
Submitted:2014-07-31
Entered:2014-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020901 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Colonoscopy abnormal, Haematochezia, Rectal haemorrhage, Cytogenetic analysis normal, Hepatic enzyme increased, Gastrointestinal inflammation, Drug metabolising enzyme test abnormal

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? No
Previous Vaccinations:
Other Medications: Nasonex
Current Illness: None
Preexisting Conditions: Seasonal allergies; penicillin allergy
Allergies:
Diagnostic Lab Data: Colonoscopy showed "Crohn''s-like" inflammation in large intestine (source of the bleeding). Genetic blood work at lab in showed no genetic predisposition to Crohn''s disease
CDC 'Split Type':

Write-up: Bloody stool and rectal bleeding during every bowel movement every day starting a week after administration of the Gardasil vaccine. ER visit 3/15/2014. Colonoscopy 3/27/2014. Medications: Apriso (5 months) no treatment results. Prednisone (7 weeks) no treatment results. Mercaptopurine (2 months) elevated liver enzymes & not metabolizing drug effectively. Mercaptopurine combined with Allopurinol (2 weeks) no treatment results.


Changed on 9/14/2017

VAERS ID: 538314 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Male
Location:New York
Vaccinated:2014-02-22
Onset:2014-03-02
Submitted:2014-07-31
Entered:2014-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020901 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Colonoscopy abnormal, Haematochezia, Rectal haemorrhage, Cytogenetic analysis normal, Hepatic enzyme increased, Gastrointestinal inflammation, Drug metabolising enzyme test abnormal

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? No
Previous Vaccinations:
Other Medications: Nasonex
Current Illness: None
Preexisting Conditions: Seasonal allergies; penicillin allergy
Allergies:
Diagnostic Lab Data: Colonoscopy showed "Crohn''s-like" inflammation in large intestine (source of the bleeding). Genetic blood work at lab in showed no genetic predisposition to Crohn''s disease
CDC 'Split Type':

Write-up: Bloody stool and rectal bleeding during every bowel movement every day starting a week after administration of the Gardasil vaccine. ER visit 3/15/2014. Colonoscopy 3/27/2014. Medications: Apriso (5 months) no treatment results. Prednisone (7 weeks) no treatment results. Mercaptopurine (2 months) elevated liver enzymes & not metabolizing drug effectively. Mercaptopurine combined with Allopurinol (2 weeks) no treatment results.


Changed on 2/14/2018

VAERS ID: 538314 Before After
VAERS Form:1
Age:13.0
Gender:Male
Location:New York
Vaccinated:2014-02-22
Onset:2014-03-02
Submitted:2014-07-31
Entered:2014-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020901 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Colonoscopy abnormal, Haematochezia, Rectal haemorrhage, Cytogenetic analysis normal, Hepatic enzyme increased, Gastrointestinal inflammation, Drug metabolising enzyme test abnormal

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? No
Previous Vaccinations:
Other Medications: Nasonex
Current Illness: None
Preexisting Conditions: Seasonal allergies; penicillin allergy
Allergies:
Diagnostic Lab Data: Colonoscopy showed "Crohn''s-like" inflammation in large intestine (source of the bleeding). Genetic blood work at lab in showed no genetic predisposition to Crohn''s disease
CDC 'Split Type':

Write-up: Bloody stool and rectal bleeding during every bowel movement every day starting a week after administration of the Gardasil vaccine. ER visit 3/15/2014. Colonoscopy 3/27/2014. Medications: Apriso (5 months) no treatment results. Prednisone (7 weeks) no treatment results. Mercaptopurine (2 months) elevated liver enzymes & not metabolizing drug effectively. Mercaptopurine combined with Allopurinol (2 weeks) no treatment results.


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