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This is VAERS ID 610098

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2015

VAERS ID: 610098
Age:16.0
Gender:Female
Location:Wisconsin
Vaccinated:2010-12-03
Onset:2010-12-06
Submitted:2015-11-17
Entered:2015-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3728AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1539Y / 0 RA / IM

Administered by: Public      Purchased by: Private
Symptoms: Autonomic nervous system imbalance, Chronic fatigue syndrome, Colitis ulcerative, Colonoscopy abnormal, Dizziness, Injection site mass, Loss of consciousness, Orthostatic hypotension, Palpitations, Mass excision, Tilt table test positive, Soft tissue sarcoma

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: N/a
Diagnostic Lab Data: Tilt table test---$gDiagnosed with Postural Hypotension Dysautonomia (4/8/11); Chronic Fatigue Syndrome; Colonoscopy---$g (08/2014) Diagnosed with Ulcerative Colitis; Surgery to remove mass where I received the HPV vaccine---$g (09/23/2015) Diagnosed with Soft Tissue Sarcoma Cancer
CDC 'Split Type':

Write-up:Dizziness, passing out, heart palpitations. No treatment, I was told this was normal for girls my age. Was never told it could be from the HPV vaccine.


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