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This is VAERS ID 650279

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 650279
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2015-07-20
Onset:2015-10-31
Submitted:2016-08-31
Entered:2016-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. L009445 / - LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K016966 / 0 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Colitis ulcerative, Colonoscopy, Culture stool, Full blood count, Rectal haemorrhage, Rectal discharge, Enema administration, Nuclear magnetic resonance imaging abdominal, Stool analysis, Laboratory 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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Colonoscopy, MRI of abdomen, stool analysis and culture, CBC, GI analysis
CDC 'Split Type':

Write-up: Blood and mucus from rectum, abdominal cramping, bloating and pain. Diagnosed with ulcerative colitis and is currently on hydrocortisone enemas qd, Melamine rectal suspension qd and Pentasa 500mg two capsules by mouth three times daily.


Changed on 9/14/2017

VAERS ID: 650279 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2015-07-20
Onset:2015-10-31
Submitted:2016-08-31
Entered:2016-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. L009445 / - UNK LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K016966 / 0 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Colitis ulcerative, Colonoscopy, Culture stool, Full blood count, Rectal haemorrhage, Rectal discharge, Enema administration, Nuclear magnetic resonance imaging abdominal, Stool analysis, Laboratory 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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Colonoscopy, MRI of abdomen, stool analysis and culture, CBC, GI analysis
CDC 'Split Type':

Write-up: Blood and mucus from rectum, abdominal cramping, bloating and pain. Diagnosed with ulcerative colitis and is currently on hydrocortisone enemas qd, Melamine rectal suspension qd and Pentasa 500mg two capsules by mouth three times daily.


Changed on 2/14/2018

VAERS ID: 650279 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2015-07-20
Onset:2015-10-31
Submitted:2016-08-31
Entered:2016-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. L009445 / UNK LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K016966 / 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Colitis ulcerative, Colonoscopy, Culture stool, Full blood count, Rectal haemorrhage, Rectal discharge, Enema administration, Nuclear magnetic resonance imaging abdominal, Stool analysis, Laboratory 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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Colonoscopy, MRI of abdomen, stool analysis and culture, CBC, GI analysis
CDC 'Split Type':

Write-up: Blood and mucus from rectum, abdominal cramping, bloating and pain. Diagnosed with ulcerative colitis and is currently on hydrocortisone enemas qd, Melamine rectal suspension qd and Pentasa 500mg two capsules by mouth three times daily.


Changed on 6/14/2018

VAERS ID: 650279 Before After
VAERS Form:1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2015-07-20
Onset:2015-10-31
Submitted:2016-08-31
Entered:2016-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. L009445 / UNK LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K016966 / 1 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Abdominal distension, Abdominal pain, Colitis ulcerative, Colonoscopy, Culture stool, Full blood count, Rectal haemorrhage, Rectal discharge, Enema administration, Nuclear magnetic resonance imaging abdominal, Stool analysis, Laboratory 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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Colonoscopy, MRI of abdomen, stool analysis and culture, CBC, GI analysis
CDC 'Split Type':

Write-up: Blood and mucus from rectum, abdominal cramping, bloating and pain. Diagnosed with ulcerative colitis and is currently on hydrocortisone enemas qd, Melamine rectal suspension qd and Pentasa 500mg two capsules by mouth three times daily.

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