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This is VAERS ID 272192

Case Details

VAERS ID: 272192 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-11-01
Onset:2007-01-01
   Days after vaccination:61
Submitted: 2007-02-12
   Days after onset:42
Entered: 2007-02-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood glucose increased, Diabetes mellitus, Pollakiuria, Thirst
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: UNK
Current Illness: UNK
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Blood glucose 674
CDC Split Type: WAES0702USA00726

Write-up: Information has been received from a physician and the mother of a 12 year old female who in November 2006, was vaccinated intramuscularly with the first dose of Gardasil. It was reported that the patient returned to the physician''s office to receive her second dose of Gardasil and the patient''s mother mentioned to the physician that her daughter had recently complained of always being thirsty, frequent urination and her blood sugar was noted as 674. In January 2007, the patient was diagnosed with diabetes and was hospitalized. The patient was in the hospital for several days and was released (date unknown). At the time of this report, the outcome of the event was unknown. It was unknown if the patient received her second dose of Gardasil. Additional information has been requested.


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