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This is VAERS ID 574138

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2015

VAERS ID: 574138
VAERS Form:
Age:14.0
Gender:Male
Location:California
Vaccinated:2014-07-09
Onset:2014-08-14
Submitted:2015-04-16
Entered:2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J011272 / 1 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Fatigue, Infectious mononucleosis, Migraine, Nuclear magnetic resonance imaging, Pain in extremity, Abasia, Epstein-Barr virus test, Activities of daily living impaired, Blood test, Complex regional pain syndrome

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: Incredible pain~HPV (Gardasil)~1~14.33~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Chronic Rhinitis
Allergies:
Diagnostic Lab Data: This was the 2nd Gardasil shot. MRI, Blood test EBV
CDC 'Split Type':

Write-up: Chronic Regional Pain Syndrome - Intense pain in foot could not walk until January 2015. Multiday migraines, chronic fatigue, mononucleosis continuing. My healthy, athletic son can barely function any more.


Changed on 9/14/2017

VAERS ID: 574138 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Male
Location:California
Vaccinated:2014-07-09
Onset:2014-08-14
Submitted:2015-04-16
Entered:2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J011272 / 1 2 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Fatigue, Infectious mononucleosis, Migraine, Nuclear magnetic resonance imaging, Pain in extremity, Abasia, Epstein-Barr virus test, Activities of daily living impaired, Blood test, Complex regional pain syndrome

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: Incredible pain~HPV (Gardasil)~1~14.33~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Chronic Rhinitis
Allergies:
Diagnostic Lab Data: This was the 2nd Gardasil shot. MRI, Blood test EBV
CDC 'Split Type':

Write-up: Chronic Regional Pain Syndrome - Intense pain in foot could not walk until January 2015. Multiday migraines, chronic fatigue, mononucleosis continuing. My healthy, athletic son can barely function any more.


Changed on 2/14/2018

VAERS ID: 574138 Before After
VAERS Form:1
Age:14.0
Gender:Male
Location:California
Vaccinated:2014-07-09
Onset:2014-08-14
Submitted:2015-04-16
Entered:2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J011272 / 2 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Fatigue, Infectious mononucleosis, Migraine, Nuclear magnetic resonance imaging, Pain in extremity, Abasia, Epstein-Barr virus test, Activities of daily living impaired, Blood test, Complex regional pain syndrome

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: Incredible pain~HPV (Gardasil)~1~14.33~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Chronic Rhinitis
Allergies:
Diagnostic Lab Data: This was the 2nd Gardasil shot. MRI, Blood test EBV
CDC 'Split Type':

Write-up: Chronic Regional Pain Syndrome - Intense pain in foot could not walk until January 2015. Multiday migraines, chronic fatigue, mononucleosis continuing. My healthy, athletic son can barely function any more.


Changed on 6/14/2018

VAERS ID: 574138 Before After
VAERS Form:1
Age:14.0
Gender:Male
Location:California
Vaccinated:2014-07-09
Onset:2014-08-14
Submitted:2015-04-16
Entered:2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J011272 / 2 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Fatigue, Infectious mononucleosis, Migraine, Nuclear magnetic resonance imaging, Pain in extremity, Abasia, Epstein-Barr virus test, Activities of daily living impaired, Blood test, Complex regional pain syndrome

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: Incredible pain~HPV (Gardasil)~1~14.33~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Chronic Rhinitis
Allergies:
Diagnostic Lab Data: This was the 2nd Gardasil shot. MRI, Blood test EBV
CDC 'Split Type':

Write-up: Chronic Regional Pain Syndrome - Intense pain in foot could not walk until January 2015. Multiday migraines, chronic fatigue, mononucleosis continuing. My healthy, athletic son can barely function any more.

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