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This is VAERS ID 685706

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2017

VAERS ID: 685706
Age:16.0
Gender:Female
Location:Oregon
Vaccinated:2012-05-20
Onset:2012-05-30
Submitted:2017-03-13
Entered:2017-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 LA / SC

Administered by: Private      Purchased by: Other
Symptoms: Blood thyroid stimulating hormone, Epstein-Barr virus infection, Thyroxine, Tri-iodothyronine, Autoimmune thyroiditis, Epstein-Barr virus test, Antibody test

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Type 1 Diabetes~HPV (no brand name)~2~16.00~Sibling|Vitiligo~HPV (no brand name)~3~13.00~Sibling
Other Medications: Albuterol only on occassion
Current Illness: No illness
Preexisting Conditions: Asthma
Diagnostic Lab Data: TSH, T3, T4 blood tests as well as antibodies that showed over 1000. EBV test performed
CDC 'Split Type':

Write-up:Hashimoto''s Thyroiditis. No prior history. Also diagnosed with EBV.


Changed on 4/14/2017

VAERS ID: 685706 Before After
Age:16.0
Gender:Female
Location:Oregon
Vaccinated:2012-05-20 2012-08-16
Onset:2012-05-30 0000-00-00
Submitted:2017-03-13
Entered:2017-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0337Z / 0 AR / IM
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 LA / SC
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4098AB / 0 AR / IM

Administered by: Private      Purchased by: Other
Symptoms: Blood thyroid stimulating hormone, Epstein-Barr virus infection, Thyroxine, Tri-iodothyronine, Autoimmune thyroiditis, Epstein-Barr virus test, Antibody test

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Type 1 Diabetes~HPV (no brand name)~2~16.00~Sibling|Vitiligo~HPV (no brand name)~3~13.00~Sibling
Other Medications: Albuterol only on occassion
Current Illness: No illness
Preexisting Conditions: Asthma
Diagnostic Lab Data: TSH, T3, T4 blood tests as well as antibodies that showed over 1000. EBV test performed
CDC 'Split Type':

Write-up:Hashimoto''s Thyroiditis. No prior history. Also diagnosed with EBV.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=685706&WAYBACKHISTORY=ON


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