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This is VAERS ID 561639

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2015

561639
VAERS Form:
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2015-01-13
Onset:2015-01-13
Submitted:2015-01-16
Entered:2015-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K018149 / 0 LA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Arthralgia, Computerised tomogram, Headache, Nuclear magnetic resonance imaging, Tremor

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT Scan, MRI
CDC 'Split Type':

Write-up:Joint pain, Headaches, Uncontrolled shaking of extremities.


Changed on 9/14/2017

561639 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2015-01-13
Onset:2015-01-13
Submitted:2015-01-16
Entered:2015-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K018149 / 0 1 LA / IM

Administered by: Unknown      Purchased by: Military
Symptoms: Arthralgia, Computerised tomogram, Headache, Nuclear magnetic resonance imaging, Tremor

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT Scan, MRI
CDC 'Split Type':

Write-up:Joint pain, Headaches, Uncontrolled shaking of extremities.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=561639&WAYBACKHISTORY=ON


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