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This is VAERS ID 615622

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

615622
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-18
Entered:2015-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Disability, Activities of daily living impaired, Adverse event

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1512USA007926

Write-up:This spontaneous report was received from a consumer via Corporate Twitter. The reported tweeted an article. Patient''s mother claimed that her daughter, a female patient of an unknown age, received a dose of GARDASIL (dose, route, lot # and expiration date were not provided) on an unknown date. On an unknown date, the patient needed permanent care. At the time of this report, the outcome of adverse event was reported as unknown. The event was considered to be disabled. This is one of several reports received from the same reporter. Additional information is not expected as reporter details were not provided.


Changed on 9/14/2017

615622 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-18
Entered:2015-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Disability, Activities of daily living impaired, Adverse event

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: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1512USA007926

Write-up:This spontaneous report was received from a consumer via Corporate Twitter. The reported tweeted an article. Patient''s mother claimed that her daughter, a female patient of an unknown age, received a dose of GARDASIL (dose, route, lot # and expiration date were not provided) on an unknown date. On an unknown date, the patient needed permanent care. At the time of this report, the outcome of adverse event was reported as unknown. The event was considered to be disabled. This is one of several reports received from the same reporter. Additional information is not expected as reporter details were not provided.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=615622&WAYBACKHISTORY=ON


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