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This is VAERS ID 567659

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2015

VAERS ID: 567659
Age:15.0
Gender:Male
Location:New Jersey
Vaccinated:2012-10-24
Onset:2013-02-09
Submitted:2015-03-02
Entered:2015-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H013831 / 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Anal ulcer, Surgery, Anal haemorrhage

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Patient has had four surgeries to close the ulcer located near his anus. All have been unsucessful.
CDC 'Split Type':

Write-up:Went to have bowel movement and started bleeding profusely from anal area. No prior symptoms.


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