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This is VAERS ID 547879

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2014

VAERS ID: 547879
Age:11.0
Gender:Female
Location:Wisconsin
Vaccinated:2013-09-25
Onset:2013-11-01
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 AR / SYR
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS - / 0 AR / SYR
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Chronic fatigue syndrome, Dizziness, Heart rate increased, Insomnia, Migraine, Nausea, Serum ferritin decreased, Syncope, Vitamin D deficiency, Mineral deficiency, Vitamin D decreased, Postural orthostatic tachycardia syndrome, Tilt table test positive

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Tilt Table Test (patient fainted on minute 13 of tilt when blood pressure was at 39/36, pulse went to a high of 152); Ferritin (blood) 8; Vitamin D (blood) 17
CDC 'Split Type':

Write-up:Postural Orthostatic Tachycardia Syndrome (POTS) (treated with salt tabs and Florinef), syncope, Chronic Fatigue Syndrome, migraines (treated with doxepin), ferritin deficiency (treated with iron supplement), vitamin D deficiency (treated with vitamin D supplement), insomnia, abdominal pain, nausea, dizziness.


Changed on 11/14/2014

VAERS ID: 547879 Before After
Age:11.0
Gender:Female
Location:Wisconsin
Vaccinated:2013-09-25
Onset:2013-11-01
Submitted:2014-10-14
Entered:2014-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - J002641 / 0 AR / SYR
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS - U4511AA / 0 AR / SYR
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - N4352 / - 0 AR / SYR

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Chronic fatigue syndrome, Dizziness, Heart rate increased, Insomnia, Migraine, Nausea, Serum ferritin decreased, Syncope, Vitamin D deficiency, Mineral deficiency, Vitamin D decreased, Postural orthostatic tachycardia syndrome, Tilt table test positive

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Amoxicillin
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: Tilt Table Test (patient fainted on minute 13 of tilt when blood pressure was at 39/36, pulse went to a high of 152); Ferritin (blood) 8; Vitamin D (blood) 17
CDC 'Split Type':

Write-up:Postural Orthostatic Tachycardia Syndrome (POTS) (treated with salt tabs and Florinef), syncope, Chronic Fatigue Syndrome, migraines (treated with doxepin), ferritin deficiency (treated with iron supplement), vitamin D deficiency (treated with vitamin D supplement), insomnia, abdominal pain, nausea, dizziness.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=547879&WAYBACKHISTORY=ON


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