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This is VAERS ID 695378

History of Changes from the VAERS Wayback Machine

First Appeared on 6/14/2017

VAERS ID: 695378
VAERS Form:
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 1 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


Changed on 9/14/2017

VAERS ID: 695378 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 1 2 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


Changed on 2/14/2018

VAERS ID: 695378 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


Changed on 6/14/2018

VAERS ID: 695378 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


Changed on 8/14/2018

VAERS ID: 695378 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


Changed on 9/14/2018

VAERS ID: 695378 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


Changed on 10/14/2018

VAERS ID: 695378 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2011-11-23
Onset:2011-11-23
Submitted:2017-05-19
Entered:2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 LA / UN

Administered by: Unknown      Purchased by: Other
Symptoms: Burning sensation, Death, Disturbance in attention, Drowning, Feeling abnormal, Headache, Influenza, Pain, Polycystic ovaries, Weight increased, Balance disorder, Laboratory test normal, Cerebral disorder, Feeding disorder, Peripheral nerve operation, Postural orthostatic tachycardia syndrome, Immediate post-injection reaction, Decompressive craniectomy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2017-05-17
Permanent Disability? No
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? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.

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