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This is VAERS ID 632378

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

632378
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:2014-03-01
Onset:0000-00-00
Submitted:2016-04-20
Entered:2016-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Influenza like illness, Nausea, Somnolence, Wheelchair user, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1604IRL007993

Write-up:Information has been received from Sanofi Pasteur MSD on 12-APR-2016. Case received from a consumer/other non-health professional on 07-APR-2016. This case is linked to E2015-09282. A female patient of unknown age received GARDASIL (batch number unknown, Dose 1) in October 2013, GARDASIL (batch number unknown, Dose 2) in November 2013. GARDASIL (batch number unknown, Dose 3) in March 2014. The patient became wheelchair user on an unknown date, flu like symptoms on an unknown date, loose her memory on an unknown date and nauseas on an unknown date. The reporter stated the patient got vaccine in October 2013, second dose in November 2013 and third dose in March 2014. They started to notice a problem after 10 days after the vaccine and didn''t make the link. The patient never recovered from then. Started off with flu like symptoms and then she was starting to loses her memory and feel nausea. Her health declined significantly after the third dose. Hasn''t changed since then. The reporter says she has to use a wheelchair. She sleeps during the day and awake at night, The reporter stated before vaccination the patient went to school, played on sports and now she doesn''t. The patient''s outcome was reported as Not recovered/Not resolved.


Changed on 9/14/2017

632378 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Foreign
Vaccinated:2014-03-01
Onset:0000-00-00
Submitted:2016-04-20
Entered:2016-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Influenza like illness, Nausea, Somnolence, Wheelchair user, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1604IRL007993

Write-up:Information has been received from Sanofi Pasteur MSD on 12-APR-2016. Case received from a consumer/other non-health professional on 07-APR-2016. This case is linked to E2015-09282. A female patient of unknown age received GARDASIL (batch number unknown, Dose 1) in October 2013, GARDASIL (batch number unknown, Dose 2) in November 2013. GARDASIL (batch number unknown, Dose 3) in March 2014. The patient became wheelchair user on an unknown date, flu like symptoms on an unknown date, loose her memory on an unknown date and nauseas on an unknown date. The reporter stated the patient got vaccine in October 2013, second dose in November 2013 and third dose in March 2014. They started to notice a problem after 10 days after the vaccine and didn''t make the link. The patient never recovered from then. Started off with flu like symptoms and then she was starting to loses her memory and feel nausea. Her health declined significantly after the third dose. Hasn''t changed since then. The reporter says she has to use a wheelchair. She sleeps during the day and awake at night, The reporter stated before vaccination the patient went to school, played on sports and now she doesn''t. The patient''s outcome was reported as Not recovered/Not resolved.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=632378&WAYBACKHISTORY=ON


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