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This is VAERS ID 559133

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2015

559133
VAERS Form:
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2012-06-26
Onset:2012-07-08
Submitted:2014-12-21
Entered:2014-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB591AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1745AA / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Depression, Muscular weakness, Nervous system disorder, Joint crepitation

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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Multi vitamin
Current Illness: No
Preexisting Conditions: No, she did faint with 2nd & 3rd doses
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Muscle weakness, and nerve issues. Lost all use of muscles holding in joints. Joints started to pop. Depression started.


Changed on 9/14/2017

559133 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Wisconsin
Vaccinated:2012-06-26
Onset:2012-07-08
Submitted:2014-12-21
Entered:2014-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB591AA / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1745AA / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Depression, Muscular weakness, Nervous system disorder, Joint crepitation

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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Multi vitamin
Current Illness: No
Preexisting Conditions: No, she did faint with 2nd & 3rd doses
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Muscle weakness, and nerve issues. Lost all use of muscles holding in joints. Joints started to pop. Depression started.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=559133&WAYBACKHISTORY=ON


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