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This is VAERS ID 692487

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2017

VAERS ID: 692487
Age:10.0
Gender:Female
Location:California
Vaccinated:2013-10-24
Onset:2013-10-24
Submitted:2017-04-26
Entered:2017-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020002 / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR 74AP3 / 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Abdominal pain upper, Back pain, Headache, Menorrhagia, Pelvic pain, Rash, Laboratory test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Born with a tethered cord
Diagnostic Lab Data: Years of testing and hospitalization.
CDC 'Split Type':

Write-up:Headache day of vaccine and rash. Pain in her back, stomach, pelvis. Periods lasting weeks at a time and heavy. Back pain is constant.


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