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This is VAERS ID 579217

History of Changes from the VAERS Wayback Machine

First Appeared on 6/13/2015

579217
VAERS Form:
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2009-08-13
Onset:2009-08-13
Submitted:2015-05-23
Entered:2015-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0294Y / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dystonia, Fatigue, Gait disturbance, Malaise, Muscular weakness, Nuclear magnetic resonance imaging normal, Pain, Tic, Tourette's disorder, Wheelchair user, Fibromyalgia, Blood test normal, Deep brain stimulation, Complex regional pain syndrome, Borrelia test negative, Seizure like phenomena

Life Threatening? Yes
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Aspergers Syndrome, Endometriosis, seasonal allergies, peanut allergy
Allergies:
Diagnostic Lab Data: Bloodwork to test for Lyme, MS, lupus, arthritis...all negative; MRI for lesions...negative; medications didn''t help; deep brain stimulation; wheelchair
CDC 'Split Type':

Write-up:After the 3rd vaccine was given on 8/13/2009 patient complained of not feeling well. Is extremely fatigued. Then in March of 2010 she started having episodes of extreme all over body pain so bad we took her to the ER twice. An MRI in April 2010 showed nothing. Patient then started a neck tic in June 2010. August 15, 2010 @ 2:30am patient started having seizure like episodes and weak legs to the point she can''t walk very far and needs a wheel chair. She was diagnosed with Tourettes, dystonia, fibromyalgia and RSD. June 16 2013 patient had to undergo deep brain stimulation but she still suffers with bad dystonia and chronic pain and still uses a wheelchair.


Changed on 9/14/2017

579217 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2009-08-13
Onset:2009-08-13
Submitted:2015-05-23
Entered:2015-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0294Y / 2 3 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dystonia, Fatigue, Gait disturbance, Malaise, Muscular weakness, Nuclear magnetic resonance imaging normal, Pain, Tic, Tourette's disorder, Wheelchair user, Fibromyalgia, Blood test normal, Deep brain stimulation, Complex regional pain syndrome, Borrelia test negative, Seizure like phenomena

Life Threatening? Yes
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: Aspergers Syndrome, Endometriosis, seasonal allergies, peanut allergy
Allergies:
Diagnostic Lab Data: Bloodwork to test for Lyme, MS, lupus, arthritis...all negative; MRI for lesions...negative; medications didn''t help; deep brain stimulation; wheelchair
CDC 'Split Type':

Write-up:After the 3rd vaccine was given on 8/13/2009 patient complained of not feeling well. Is extremely fatigued. Then in March of 2010 she started having episodes of extreme all over body pain so bad we took her to the ER twice. An MRI in April 2010 showed nothing. Patient then started a neck tic in June 2010. August 15, 2010 @ 2:30am patient started having seizure like episodes and weak legs to the point she can''t walk very far and needs a wheel chair. She was diagnosed with Tourettes, dystonia, fibromyalgia and RSD. June 16 2013 patient had to undergo deep brain stimulation but she still suffers with bad dystonia and chronic pain and still uses a wheelchair.


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