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This is VAERS ID 622700

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2016

622700
VAERS Form:
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-02-02
Onset:2013-03-04
Submitted:2016-02-12
Entered:2016-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 RA / ID

Administered by: Military      Purchased by: Public
Symptoms: Alopecia, Arthralgia, Asthenia, Autonomic nervous system imbalance, Chills, Costochondritis, Disability, Dizziness, Fatigue, Gastrooesophageal reflux disease, Gastrointestinal disorder, Headache, Hypotension, Hypothermia, Injection site oedema, Injection site pain, Insomnia, Myalgia, Nausea, Pain, Pain in extremity, Paraesthesia, Paresis, Polyneuropathy, Presyncope, Raynaud's phenomenon, Swelling, Tachycardia, Tremor, Fibromyalgia, Underweight, Tonic clonic movements, Facial paresis, Allodynia, Complex regional pain syndrome, Spinal pain

Life Threatening? Yes
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: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma and allergies.
Allergies:
Diagnostic Lab Data: Complex regional pain syndrome, dysautonomia, polyneuropathy, fibromyalgia
CDC 'Split Type':

Write-up:Pain, Edema, Right arm (immunization site) strength loss, Reynaud Phenomenon, Joint pain. 15 days later pain on the left side arm, one month after presented pain in the low body section. Generalized strength loss, Disability, Fibromyalgia, paresthesia, paresis, chronic pain, chronic fatigue, arthralgia, myalgia, allodynia, costochondritis, headaches, insomnia, spinal pain, dizziness, nausea, hypotension, gastroesophageal reflux, gastrointestinal disorder, dysautonomia, tachycardia, distal hypothermia, swelling, hair loss, tremors, facial paresis, Tonic-clonic movements, presyncope, Shaking chills, low weight. Current treated with painkillers, anti-convulsives and steroids.


Changed on 9/14/2017

622700 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-02-02
Onset:2013-03-04
Submitted:2016-02-12
Entered:2016-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 4 RA / ID

Administered by: Military      Purchased by: Public
Symptoms: Alopecia, Arthralgia, Asthenia, Autonomic nervous system imbalance, Chills, Costochondritis, Disability, Dizziness, Fatigue, Gastrooesophageal reflux disease, Gastrointestinal disorder, Headache, Hypotension, Hypothermia, Injection site oedema, Injection site pain, Insomnia, Myalgia, Nausea, Pain, Pain in extremity, Paraesthesia, Paresis, Polyneuropathy, Presyncope, Raynaud's phenomenon, Swelling, Tachycardia, Tremor, Fibromyalgia, Underweight, Tonic clonic movements, Facial paresis, Allodynia, Complex regional pain syndrome, Spinal pain

Life Threatening? Yes
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: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma and allergies.
Allergies:
Diagnostic Lab Data: Complex regional pain syndrome, dysautonomia, polyneuropathy, fibromyalgia
CDC 'Split Type':

Write-up:Pain, Edema, Right arm (immunization site) strength loss, Reynaud Phenomenon, Joint pain. 15 days later pain on the left side arm, one month after presented pain in the low body section. Generalized strength loss, Disability, Fibromyalgia, paresthesia, paresis, chronic pain, chronic fatigue, arthralgia, myalgia, allodynia, costochondritis, headaches, insomnia, spinal pain, dizziness, nausea, hypotension, gastroesophageal reflux, gastrointestinal disorder, dysautonomia, tachycardia, distal hypothermia, swelling, hair loss, tremors, facial paresis, Tonic-clonic movements, presyncope, Shaking chills, low weight. Current treated with painkillers, anti-convulsives and steroids.


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