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This is VAERS ID 602552

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 602552
VAERS Form:
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2013-12-17
Onset:2013-12-17
Submitted:2015-10-14
Entered:2015-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH899AB / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J008423 / 0 LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Respiration abnormal, Swollen tongue, Oropharyngeal pain

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: No
Preexisting Conditions: Head injury with nerve pain.
Allergies:
Diagnostic Lab Data: She was also given the flu shot for that year at the same time.
CDC 'Split Type':

Write-up: Started with throat hurting and by around 9 AM the next morning her tongue was swollen about 4 times the normal size. So large that she could not keep her tongue in her mouth and her breathing was affected.


Changed on 9/14/2017

VAERS ID: 602552 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2013-12-17
Onset:2013-12-17
Submitted:2015-10-14
Entered:2015-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH899AB / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J008423 / 0 1 LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Respiration abnormal, Swollen tongue, Oropharyngeal pain

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: No
Preexisting Conditions: Head injury with nerve pain.
Allergies:
Diagnostic Lab Data: She was also given the flu shot for that year at the same time.
CDC 'Split Type':

Write-up: Started with throat hurting and by around 9 AM the next morning her tongue was swollen about 4 times the normal size. So large that she could not keep her tongue in her mouth and her breathing was affected.


Changed on 2/14/2018

VAERS ID: 602552 Before After
VAERS Form:1
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2013-12-17
Onset:2013-12-17
Submitted:2015-10-14
Entered:2015-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH899AB / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J008423 / 1 LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Respiration abnormal, Swollen tongue, Oropharyngeal pain

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: No
Preexisting Conditions: Head injury with nerve pain.
Allergies:
Diagnostic Lab Data: She was also given the flu shot for that year at the same time.
CDC 'Split Type':

Write-up: Started with throat hurting and by around 9 AM the next morning her tongue was swollen about 4 times the normal size. So large that she could not keep her tongue in her mouth and her breathing was affected.


Changed on 6/14/2018

VAERS ID: 602552 Before After
VAERS Form:1
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2013-12-17
Onset:2013-12-17
Submitted:2015-10-14
Entered:2015-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UH899AB / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J008423 / 1 LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Respiration abnormal, Swollen tongue, Oropharyngeal pain

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: No
Preexisting Conditions: Head injury with nerve pain.
Allergies:
Diagnostic Lab Data: She was also given the flu shot for that year at the same time.
CDC 'Split Type':

Write-up: Started with throat hurting and by around 9 AM the next morning her tongue was swollen about 4 times the normal size. So large that she could not keep her tongue in her mouth and her breathing was affected.

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