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This is VAERS ID 552028

History of Changes from the VAERS Wayback Machine

First Appeared on 11/14/2014

552028
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2014-06-24
Onset:2014-08-01
Submitted:2014-11-05
Entered:2014-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal pain upper, Diarrhoea, Endoscopy, Haematochezia, Pain in extremity, Urine analysis, Stool analysis, Blood test

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:
Current Illness: No
Preexisting Conditions: Allergic to Penicillin/Amoxicillin
Allergies:
Diagnostic Lab Data: Numerous tests done on blood, stool, urine. Endoscopy done.
CDC 'Split Type':

Write-up:Stomach pain, bloody stool, diarrhea up to 7 times a day, arm pain lasting for weeks.


Changed on 12/14/2014

552028 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New York
Vaccinated:2014-06-24
Onset:2014-08-01
Submitted:2014-11-05
Entered:2014-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - J014218 / 0 RA LA / UN IM

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal pain upper, Diarrhoea, Endoscopy, Haematochezia, Pain in extremity, Urine analysis, Stool analysis, Blood test

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:
Current Illness: No
Preexisting Conditions: Allergic to Penicillin/Amoxicillin
Allergies:
Diagnostic Lab Data: Numerous tests done on blood, stool, urine. Endoscopy done.
CDC 'Split Type':

Write-up:Stomach pain, bloody stool, diarrhea up to 7 times a day, arm pain lasting for weeks.


Changed on 9/14/2017

552028 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New York
Vaccinated:2014-06-24
Onset:2014-08-01
Submitted:2014-11-05
Entered:2014-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J014218 / 0 1 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal pain upper, Diarrhoea, Endoscopy, Haematochezia, Pain in extremity, Urine analysis, Stool analysis, Blood test

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:
Current Illness: No
Preexisting Conditions: Allergic to Penicillin/Amoxicillin
Allergies:
Diagnostic Lab Data: Numerous tests done on blood, stool, urine. Endoscopy done.
CDC 'Split Type':

Write-up:Stomach pain, bloody stool, diarrhea up to 7 times a day, arm pain lasting for weeks.


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