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This is VAERS ID 688226

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2017

688226
VAERS Form:
Age:14.0
Gender:Female
Location:South Carolina
Vaccinated:2012-07-17
Onset:2012-09-01
Submitted:2017-03-27
Entered:2017-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4053AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B062AA / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Clumsiness, Electroencephalogram, Fall, Gait disturbance, Hypermetabolism, Hypotonia, Hypovitaminosis, Mood altered, Pneumonia, Positron emission tomogram, Posture abnormal, Seizure, Somnolence, Speech disorder, Balance disorder, Bradyphrenia, Blood test

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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: KEPPRA - ZONEGRAN - FOLIC ACID
Current Illness: None
Preexisting Conditions: Epilepsy
Allergies:
Diagnostic Lab Data: EEG - PETSCAN - BLOODWORK
CDC 'Split Type':

Write-up:Began dragging left foot/loss of muscle tone - pronated arms and feet - extreme mood changes - sudden pneumonia - refractory seizures - vitamin D depleted - speech changed - core weakness - slower processing - somnolence - hyper metabolic temporal lobes - clumsiness/constant falling - loss of balance.


Changed on 9/14/2017

688226 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:South Carolina
Vaccinated:2012-07-17
Onset:2012-09-01
Submitted:2017-03-27
Entered:2017-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4053AA / 0 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B062AA / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Clumsiness, Electroencephalogram, Fall, Gait disturbance, Hypermetabolism, Hypotonia, Hypovitaminosis, Mood altered, Pneumonia, Positron emission tomogram, Posture abnormal, Seizure, Somnolence, Speech disorder, Balance disorder, Bradyphrenia, Blood test

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:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: KEPPRA - ZONEGRAN - FOLIC ACID
Current Illness: None
Preexisting Conditions: Epilepsy
Allergies:
Diagnostic Lab Data: EEG - PETSCAN - BLOODWORK
CDC 'Split Type':

Write-up:Began dragging left foot/loss of muscle tone - pronated arms and feet - extreme mood changes - sudden pneumonia - refractory seizures - vitamin D depleted - speech changed - core weakness - slower processing - somnolence - hyper metabolic temporal lobes - clumsiness/constant falling - loss of balance.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=688226&WAYBACKHISTORY=ON


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