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This is VAERS ID 656842

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

656842
VAERS Form:
Age:11.0
Gender:Female
Location:Alaska
Vaccinated:2015-03-06
Onset:2016-10-01
Submitted:2016-10-03
Entered:2016-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K005881 / 2 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4800 / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 3HG7R / 2 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Dizziness, Dyspnoea, Ear pain, Fatigue, Headache, Nausea, Pain, Ultrasound scan, Dysstasia, Activities of daily living impaired, Computerised tomogram abdomen, Stool analysis, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: NO
Preexisting Conditions: NO. NONE
Allergies:
Diagnostic Lab Data: Various (multiple) Blood tests. Visits and tests with Pediatric Gastroenterologists, and non pediatric Gastroenterologists. Stool samples taken and assessed. Frequent visits to Doctor.
CDC 'Split Type':

Write-up:Her symptoms started with breathing problems and extreme ear pain. Followed by chronic severe abdominal pain and chronic severe headaches. She is constantly nauseated, weak, fatigued. She has not enough energy some days to go up the stairs in our house. Before, she was a competitive soccer player for 6 years, she could run for miles before. Now 1-2 minutes is too much and too painful for her. She gets so dizzy sometimes she cannot stand without holding onto a chair or a family member. We''ve taken her to pediatric specialists, had multiple blood tests, Cat Scans of her stomach, ultrasounds, she has been prescribed multiple over the counter medicines (all which do not work or make her feel worse).


Changed on 9/14/2017

656842 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Alaska
Vaccinated:2015-03-06
Onset:2016-10-01
Submitted:2016-10-03
Entered:2016-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K005881 / 2 3 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4800 / 0 1 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 3HG7R / 2 3 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Dizziness, Dyspnoea, Ear pain, Fatigue, Headache, Nausea, Pain, Ultrasound scan, Dysstasia, Activities of daily living impaired, Computerised tomogram abdomen, Stool analysis, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: NO
Preexisting Conditions: NO. NONE
Allergies:
Diagnostic Lab Data: Various (multiple) Blood tests. Visits and tests with Pediatric Gastroenterologists, and non pediatric Gastroenterologists. Stool samples taken and assessed. Frequent visits to Doctor.
CDC 'Split Type':

Write-up:Her symptoms started with breathing problems and extreme ear pain. Followed by chronic severe abdominal pain and chronic severe headaches. She is constantly nauseated, weak, fatigued. She has not enough energy some days to go up the stairs in our house. Before, she was a competitive soccer player for 6 years, she could run for miles before. Now 1-2 minutes is too much and too painful for her. She gets so dizzy sometimes she cannot stand without holding onto a chair or a family member. We''ve taken her to pediatric specialists, had multiple blood tests, Cat Scans of her stomach, ultrasounds, she has been prescribed multiple over the counter medicines (all which do not work or make her feel worse).


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=656842&WAYBACKHISTORY=ON


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