National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 646651

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 646651
VAERS Form:
Age:12.0
Gender:Female
Location:Colorado
Vaccinated:2015-02-03
Onset:2016-02-11
Submitted:2016-08-05
Entered:2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K006960 / 2 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Bronchoscopy, Chest pain, Dysphagia, Dyspnoea, Endoscopy, Myalgia, Pain, Weight decreased

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Had a Endoscopy done, a Bronchoscopy done, visited a ENT, Pulmonary, and Gastroenterology''and still no answers but still in lots of pain and losing weight.
CDC 'Split Type':

Write-up: Trouble swallowing, chest pains, hard to breathe, muscle soreness. No treatment as no doctor can figure out what is wrong.


Changed on 9/14/2017

VAERS ID: 646651 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Colorado
Vaccinated:2015-02-03
Onset:2016-02-11
Submitted:2016-08-05
Entered:2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K006960 / 2 3 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Bronchoscopy, Chest pain, Dysphagia, Dyspnoea, Endoscopy, Myalgia, Pain, Weight decreased

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Had a Endoscopy done, a Bronchoscopy done, visited a ENT, Pulmonary, and Gastroenterology''and still no answers but still in lots of pain and losing weight.
CDC 'Split Type':

Write-up: Trouble swallowing, chest pains, hard to breathe, muscle soreness. No treatment as no doctor can figure out what is wrong.


Changed on 2/14/2018

VAERS ID: 646651 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Colorado
Vaccinated:2015-02-03
Onset:2016-02-11
Submitted:2016-08-05
Entered:2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K006960 / 3 RA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Bronchoscopy, Chest pain, Dysphagia, Dyspnoea, Endoscopy, Myalgia, Pain, Weight decreased

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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Had a Endoscopy done, a Bronchoscopy done, visited a ENT, Pulmonary, and Gastroenterology''and still no answers but still in lots of pain and losing weight.
CDC 'Split Type':

Write-up: Trouble swallowing, chest pains, hard to breathe, muscle soreness. No treatment as no doctor can figure out what is wrong.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=646651&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166