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This is VAERS ID 558292

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2015

558292
VAERS Form:
Age:15.0
Gender:Female
Location:South Carolina
Vaccinated:2013-06-06
Onset:2013-08-01
Submitted:2014-12-16
Entered:2014-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Bone scan, Nuclear magnetic resonance imaging, Pain, Ultrasound Doppler, Venogram, X-ray, Organ failure, Nerve conduction studies, 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: NO
Allergies:
Diagnostic Lab Data: Nerve Conduction Tests, Blood drawn numerous times, Bone Scan, Vein studies, Doppler scans, x-rays, MRIs
CDC 'Split Type':

Write-up:Patient began complaining of aches and pains. They were unexplained and no injury found. By the September the pain became too much and her body began to shut down.


Changed on 9/14/2017

558292 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:South Carolina
Vaccinated:2013-06-06
Onset:2013-08-01
Submitted:2014-12-16
Entered:2014-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 0 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Bone scan, Nuclear magnetic resonance imaging, Pain, Ultrasound Doppler, Venogram, X-ray, Organ failure, Nerve conduction studies, 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: NO
Allergies:
Diagnostic Lab Data: Nerve Conduction Tests, Blood drawn numerous times, Bone Scan, Vein studies, Doppler scans, x-rays, MRIs
CDC 'Split Type':

Write-up:Patient began complaining of aches and pains. They were unexplained and no injury found. By the September the pain became too much and her body began to shut down.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=558292&WAYBACKHISTORY=ON


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