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This is VAERS ID 557279

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2014

557279
VAERS Form:
Age:14.0
Gender:Male
Location:Kentucky
Vaccinated:2014-03-13
Onset:2014-07-01
Submitted:2014-12-02
Entered:2014-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J009243 / 2 RA / UN

Administered by: Public      Purchased by: Other
Symptoms: Headache, Malaise, Memory impairment, Muscle twitching, Nerve injury, Postural orthostatic tachycardia syndrome

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: 13~Vaccine not specified (no brand name)~UN~0.00~Sibling
Other Medications:
Current Illness: Was healthy
Preexisting Conditions: Allergies to mold
Allergies:
Diagnostic Lab Data: POTS; waiting to see neuro
CDC 'Split Type':

Write-up:Became sick after 3rd HPV GARDASIL vaccine was diagnosed with POTS. Waiting to see neurology has memory problems, muscle and nerve twitching and shocking headaches.


Changed on 9/14/2017

557279 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Male
Location:Kentucky
Vaccinated:2014-03-13
Onset:2014-07-01
Submitted:2014-12-02
Entered:2014-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J009243 / 2 3 RA / UN

Administered by: Public      Purchased by: Other
Symptoms: Headache, Malaise, Memory impairment, Muscle twitching, Nerve injury, Postural orthostatic tachycardia syndrome

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: 13~Vaccine not specified (no brand name)~UN~0.00~Sibling
Other Medications:
Current Illness: Was healthy
Preexisting Conditions: Allergies to mold
Allergies:
Diagnostic Lab Data: POTS; waiting to see neuro
CDC 'Split Type':

Write-up:Became sick after 3rd HPV GARDASIL vaccine was diagnosed with POTS. Waiting to see neurology has memory problems, muscle and nerve twitching and shocking headaches.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=557279&WAYBACKHISTORY=ON


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