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This is VAERS ID 678231

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2017

VAERS ID: 678231
Age:13.0
Gender:Female
Location:California
Vaccinated:2008-08-05
Onset:2008-08-05
Submitted:2017-01-16
Entered:2017-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM
VARCEL: VARICELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Altered state of consciousness, Dizziness, Headache, Heart rate increased, Nausea, Pyrexia, Systemic lupus erythematosus, Cardiac disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None but when it was administered patient had to stay in the doctor''s office because she almost passed out and felt nauseated. She developed a fever and severe stomach pain and severe headache.
Preexisting Conditions: None
Diagnostic Lab Data: Patient has developed systemic lupus and problems with rapid heard rate. She has had ongoing problems since the day of the immunization.
CDC 'Split Type':

Write-up:Felt nauseated, dizzy, severe headache, severe stomach ache, fever. Since that time patient developed lupus and problems with her heart.


Changed on 3/14/2017

VAERS ID: 678231 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2008-08-05
Onset:2008-08-05
Submitted:2017-01-16
Entered:2017-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0571X / 1 LA / IM
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 AR / IM
VARCEL: VARICELLA (NO BRAND NAME) VARICELLA (VARIVAX) / UNKNOWN MANUFACTURER MERCK & CO. INC. - 0537X / 1 AR LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Altered state of consciousness, Dizziness, Headache, Heart rate increased, Nausea, Pyrexia, Systemic lupus erythematosus, Cardiac disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None but when it was administered patient had to stay in the doctor''s office because she almost passed out and felt nauseated. She developed a fever and severe stomach pain and severe headache.
Preexisting Conditions: None
Diagnostic Lab Data: Patient has developed systemic lupus and problems with rapid heard rate. She has had ongoing problems since the day of the immunization.
CDC 'Split Type':

Write-up:Felt nauseated, dizzy, severe headache, severe stomach ache, fever. Since that time patient developed lupus and problems with her heart.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=678231&WAYBACKHISTORY=ON


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