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This is VAERS ID 644710

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

644710
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2013-07-25
Onset:2013-08-13
Submitted:2016-07-22
Entered:2016-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021608 / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Headache, Multiple sclerosis, Nuclear magnetic resonance imaging, Vision blurred, Ophthalmological examination, Blood test

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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 5 MRI''s; Blood testing; eye examinations.
CDC 'Split Type':

Write-up:Blurry vision and headaches approximately two weeks after GARDASIL injection. Now diagnosed with MS.


Changed on 9/14/2017

644710 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2013-07-25
Onset:2013-08-13
Submitted:2016-07-22
Entered:2016-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021608 / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Headache, Multiple sclerosis, Nuclear magnetic resonance imaging, Vision blurred, Ophthalmological examination, Blood test

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: 11     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 5 MRI''s; Blood testing; eye examinations.
CDC 'Split Type':

Write-up:Blurry vision and headaches approximately two weeks after GARDASIL injection. Now diagnosed with MS.


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