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This is VAERS ID 635412

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2016

635412
VAERS Form:
Age:16.0
Gender:Female
Location:New York
Vaccinated:2014-11-19
Onset:2014-11-25
Submitted:2016-05-12
Entered:2016-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. CJ2129 / 6 - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K009482 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Nuclear magnetic resonance imaging, Pain, Blood test, Spinal pain

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:
Current Illness: healthy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Extensive blood work; MRI to rule out meniscus tear prior to moving on to arthritis diagnosis
CDC 'Split Type':

Write-up:Being treated with methotrexate injections and no relief for 1 year. Pain is at a 9/10 daily and has spread to hips and spine.


Changed on 9/14/2017

635412 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:New York
Vaccinated:2014-11-19
Onset:2014-11-25
Submitted:2016-05-12
Entered:2016-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. CJ2129 / 6 7+ - NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K009482 / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Nuclear magnetic resonance imaging, Pain, Blood test, Spinal pain

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:
Current Illness: healthy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Extensive blood work; MRI to rule out meniscus tear prior to moving on to arthritis diagnosis
CDC 'Split Type':

Write-up:Being treated with methotrexate injections and no relief for 1 year. Pain is at a 9/10 daily and has spread to hips and spine.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=635412&WAYBACKHISTORY=ON


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