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This is VAERS ID 590336

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

590336
VAERS Form:
Age:15.0
Gender:Female
Location:New Jersey
Vaccinated:2013-06-25
Onset:2015-06-09
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / 2 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Dizziness, Electrocardiogram, Electroencephalogram, Moaning, Tachycardia, Tremor

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth Control Tripreverin
Current Illness: None
Preexisting Conditions: Yes. She was diagnosed with amplified pain syndrome in March of 2013. Pains in legs, foggy feeling, weakness. June 2016 Diagnosed with POTS.
Allergies:
Diagnostic Lab Data: EEG in hospital; EKG
CDC 'Split Type':

Write-up:Light headed, moaning weakness, trembling, tachycardia.


Changed on 9/14/2017

590336 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:New Jersey
Vaccinated:2013-06-25
Onset:2015-06-09
Submitted:2015-08-17
Entered:2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / 2 3 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Dizziness, Electrocardiogram, Electroencephalogram, Moaning, Tachycardia, Tremor

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth Control Tripreverin
Current Illness: None
Preexisting Conditions: Yes. She was diagnosed with amplified pain syndrome in March of 2013. Pains in legs, foggy feeling, weakness. June 2016 Diagnosed with POTS.
Allergies:
Diagnostic Lab Data: EEG in hospital; EKG
CDC 'Split Type':

Write-up:Light headed, moaning weakness, trembling, tachycardia.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=590336&WAYBACKHISTORY=ON


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