National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 568282

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2015

VAERS ID: 568282
VAERS Form:
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.


Changed on 9/14/2017

VAERS ID: 568282 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.


Changed on 2/14/2018

VAERS ID: 568282 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.


Changed on 6/14/2018

VAERS ID: 568282 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.


Changed on 8/14/2018

VAERS ID: 568282 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.


Changed on 9/14/2018

VAERS ID: 568282 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.


Changed on 10/14/2018

VAERS ID: 568282 Before After
VAERS Form:1
Age:15.0
Sex:Female
Location:Ohio
Vaccinated:2010-09-10
Onset:2011-01-15
Submitted:2015-03-05
Entered:2015-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / SYR

Administered by: Unknown      Purchased by: Public
Symptoms: Asthenia, Chills, Confusional state, Death, Dyspnoea, Fatigue, Lymphadenopathy, Malaise, Muscular weakness, Pain in extremity, Rash, Skin infection, Urticaria, Wheezing, Laboratory test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-02-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~HPV (Gardasil)~~15.92~Patient
Other Medications: Nothing
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: All tests were complicated
CDC 'Split Type':

Write-up: Hives, swollen glands, chills, difficult breathing, feeling unwell, rash, skin infection, muscle weakness, tiredness, weakness confusion, leg pain and wheezing.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=568282&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166