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This is VAERS ID 646650

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

646650
VAERS Form:
Age:11.0
Gender:Female
Location:Colorado
Vaccinated:2015-04-21
Onset:2015-04-23
Submitted:2016-08-05
Entered:2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K008931 / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5049AA / 0 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4774AA / 0 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Eye pain, Feeling abnormal, Hypersomnia, Lyme disease, Menstrual disorder, Myalgia, Blood test

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: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Had many blood test done and other test to figure out what was/is wrong with her.
CDC 'Split Type':

Write-up:Sleeps 18-20 hours a day, sharp pains in eyes, muscles hurt, brain fog, period issues and 2 strains of Lyme disease. Trying to treat Lyme but had many test and has Chronic Fatigue Syndrome.


Changed on 9/14/2017

646650 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Colorado
Vaccinated:2015-04-21
Onset:2015-04-23
Submitted:2016-08-05
Entered:2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K008931 / 0 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5049AA / 0 1 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4774AA / 0 1 LA / UN

Administered by: Private      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Eye pain, Feeling abnormal, Hypersomnia, Lyme disease, Menstrual disorder, Myalgia, Blood test

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: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Had many blood test done and other test to figure out what was/is wrong with her.
CDC 'Split Type':

Write-up:Sleeps 18-20 hours a day, sharp pains in eyes, muscles hurt, brain fog, period issues and 2 strains of Lyme disease. Trying to treat Lyme but had many test and has Chronic Fatigue Syndrome.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=646650&WAYBACKHISTORY=ON


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