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This is VAERS ID 594219

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

594219
VAERS Form:
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2013-06-04
Onset:2013-08-20
Submitted:0000-00-00
Entered:2015-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram, Electroencephalogram, Muscle twitching, Seizure, Stomatitis, Blood test

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:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT; EEG; Blood work; Notes from neuro reviewed-cannot/does not make tie between seizures and vaccine
CDC 'Split Type':

Write-up:Seizures, twitches in fingers/hands sores in mouth started about 1-2 weeks after shot. Multiple seizures.


Changed on 9/14/2017

594219 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2013-06-04
Onset:2013-08-20
Submitted:0000-00-00
Entered:2015-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram, Electroencephalogram, Muscle twitching, Seizure, Stomatitis, Blood test

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:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT; EEG; Blood work; Notes from neuro reviewed-cannot/does not make tie between seizures and vaccine
CDC 'Split Type':

Write-up:Seizures, twitches in fingers/hands sores in mouth started about 1-2 weeks after shot. Multiple seizures.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=594219&WAYBACKHISTORY=ON


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