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This is VAERS ID 682716

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2017

682716
VAERS Form:
Age:12.0
Gender:Male
Location:North Dakota
Vaccinated:2014-02-17
Onset:2014-02-22
Submitted:2017-02-15
Entered:2017-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020848 / 2 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Appendicectomy, Colitis ulcerative, Diarrhoea, Influenza like illness, Colectomy, Pelvic pouch procedure, Anal incontinence

Life Threatening? Yes
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? Yes, days: 14     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Diarrhea and flu-like symptoms. Though may be developing dairy allergy. Changed diet. Symptom got worse. No bowel control. Diagnosed with ulcerative colitis. Attempted to control with medication. Still resulted in surgery to remove colon and appendix. Had ileostomy and pouch for several months before j pouch and closure surgeries.


Changed on 9/14/2017

682716 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Male
Location:North Dakota
Vaccinated:2014-02-17
Onset:2014-02-22
Submitted:2017-02-15
Entered:2017-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020848 / 2 3 LA / IM

Administered by: Public      Purchased by: Other
Symptoms: Appendicectomy, Colitis ulcerative, Diarrhoea, Influenza like illness, Colectomy, Pelvic pouch procedure, Anal incontinence

Life Threatening? Yes
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? Yes, days: 14     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Diarrhea and flu-like symptoms. Though may be developing dairy allergy. Changed diet. Symptom got worse. No bowel control. Diagnosed with ulcerative colitis. Attempted to control with medication. Still resulted in surgery to remove colon and appendix. Had ileostomy and pouch for several months before j pouch and closure surgeries.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=682716&WAYBACKHISTORY=ON


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