National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 629221

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2016

VAERS ID: 629221
Age:12.0
Gender:Female
Location:Michigan
Vaccinated:2012-10-15
Onset:2013-09-30
Submitted:2016-03-24
Entered:2016-03-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0420AE / 2 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Acne, Alopecia, Anxiety, Asthenia, Autonomic nervous system imbalance, Bone pain, Depression, Fatigue, Gastrointestinal disorder, Myalgia, Rash generalised, Weight decreased, Cognitive disorder, Decreased appetite, Quality of life decreased

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Ritalin, Albuterol as needed
Current Illness: None
Preexisting Conditions: Fungi, Epstein Barr Syndome
Diagnostic Lab Data: Cardiologist, Dysautonomia; GI Specialist, GI and Weight Loss issues; Family Doctor for ongoing health issues
CDC 'Split Type':

Write-up:Systemic Rash, Followed by a slow progression of symptoms, weight loss, fatigue, lack of appetite, bone pain, muscle pain, weakness, hair loss, acne-severe, depression, anxiety, comprehension and cognitive difficulty, dysautonomia, GI issues, diminished quality of life.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=629221&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166