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This is VAERS ID 658585

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

658585
VAERS Form:
Age:12.0
Gender:Male
Location:California
Vaccinated:2014-08-13
Onset:2014-08-28
Submitted:2016-09-30
Entered:2016-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 4H9R4 / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J015378 / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4610BA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J009164 / 1 RA / SC

Administered by: Public      Purchased by: Private
Symptoms: Cataplexy, Crying, Sleep study

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Sleep study
CDC 'Split Type':

Write-up:Patient had a second HPV 9 shot on 8/18/16 and a wk after the second shot is when the cataplexy set in. We were not supposed to have the sleep study until 11/29/16. But I called them crying telling them I could no longer wait.


Changed on 9/14/2017

658585 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Male
Location:California
Vaccinated:2014-08-13
Onset:2014-08-28
Submitted:2016-09-30
Entered:2016-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 4H9R4 / 1 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J015378 / 0 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4610BA / 0 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J009164 / 1 2 RA / SC

Administered by: Public      Purchased by: Private
Symptoms: Cataplexy, Crying, Sleep study

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Sleep study
CDC 'Split Type':

Write-up:Patient had a second HPV 9 shot on 8/18/16 and a wk after the second shot is when the cataplexy set in. We were not supposed to have the sleep study until 11/29/16. But I called them crying telling them I could no longer wait.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=658585&WAYBACKHISTORY=ON


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