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This is VAERS ID 582524

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2015

582524
VAERS Form:
Age:13.0
Gender:Male
Location:Rhode Island
Vaccinated:2015-03-23
Onset:2015-04-02
Submitted:2015-06-20
Entered:2015-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS C7392 / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K007828 / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Malaise, Petechiae, Contusion

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: Doxcycline for acne
Current Illness: There were no illness at time of vaccine
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was going to Dr. as he had not been feeling well. When we got there, he was covered in bruising and petechia.


Changed on 9/14/2017

582524 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Male
Location:Rhode Island
Vaccinated:2015-03-23
Onset:2015-04-02
Submitted:2015-06-20
Entered:2015-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS C7392 / - UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K007828 / 0 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Malaise, Petechiae, Contusion

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: Doxcycline for acne
Current Illness: There were no illness at time of vaccine
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was going to Dr. as he had not been feeling well. When we got there, he was covered in bruising and petechia.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=582524&WAYBACKHISTORY=ON


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