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This is VAERS ID 675713

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2017

VAERS ID: 675713
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2012-08-24
Onset:2012-10-18
Submitted:2016-12-29
Entered:2016-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H011350 / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4347AA / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthropathy, Autonomic nervous system imbalance, Dystonia, Fatigue, Hypermobility syndrome, Migraine, Orthostatic hypotension, Syncope, Tension headache, Fibromyalgia, Myofascial pain syndrome, Complex regional pain syndrome

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy to morphine and bilateral hearing loss
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Complex Regional Pain Syndrome, Joint Hypermobility Syndrome, Orthostatic Hypotension, Dystonia, Dysautonomia, Tension Headaches, Migraines, Myofascial Pain Syndrome, Fibromyalgia, SI Joint Dysfunction, fatigue, Vasovagal Syncope.


Changed on 2/14/2017

VAERS ID: 675713 Before After
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2012-08-24
Onset:2012-10-18
Submitted:2016-12-29
Entered:2016-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H011350 / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4347AA / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthropathy, Autonomic nervous system imbalance, Dystonia, Fatigue, Hypermobility syndrome, Migraine, Orthostatic hypotension, Syncope, Tension headache, Fibromyalgia, Myofascial pain syndrome, Complex regional pain syndrome

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21 24     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy to morphine and bilateral hearing loss
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Complex Regional Pain Syndrome, Joint Hypermobility Syndrome, Orthostatic Hypotension, Dystonia, Dysautonomia, Tension Headaches, Migraines, Myofascial Pain Syndrome, Fibromyalgia, SI Joint Dysfunction, fatigue, Vasovagal Syncope.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=675713&WAYBACKHISTORY=ON


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