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This is VAERS ID 657481

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

657481
VAERS Form:
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2014-02-26
Onset:2014-06-12
Submitted:2016-10-05
Entered:2016-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / 0 RA / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Tilt table test, Postural orthostatic tachycardia syndrome

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:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Tilt Table Test performed at Clinic
CDC 'Split Type':

Write-up:Postural Orthostatic Tachycardia Syndrome.


Changed on 9/14/2017

657481 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Texas
Vaccinated:2014-02-26
Onset:2014-06-12
Submitted:2016-10-05
Entered:2016-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / 0 1 RA / UN

Administered by: Unknown      Purchased by: Private
Symptoms: Tilt table test, Postural orthostatic tachycardia syndrome

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:
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Tilt Table Test performed at Clinic
CDC 'Split Type':

Write-up:Postural Orthostatic Tachycardia Syndrome.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=657481&WAYBACKHISTORY=ON


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