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This is VAERS ID 277622

Case Details

VAERS ID: 277622 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Indiana  
   Days after vaccination:1
Submitted: 2007-04-23
   Days after onset:15
Entered: 2007-04-30
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 2 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Influenza like illness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Synthroid, Estra Step
Current Illness:
Preexisting Conditions: Hypothyroid PMH: adopted, hypothyroidism since 2/2006, contraception for dysmenorrhea.
Diagnostic Lab Data: None LABS: TSH 15.163(H), antithyroid peroxidase .1000.
CDC Split Type:

Write-up: Flu like symptoms after 2nd Gardasil injection 10/21/08 Reviewed endocrine clinic records of 2/10/06-3/11/2008. FINAL DX: Hashimoto''s thyroiditis, hypothyroidism, dysfunctional uterine bleeding, poor circulation in feet Records reveal patient experienced rapid weight gain, irregular periods, dysfunctional uterine bleeding. Tx w/thyroxine replacement therapy (synthroid). Dx w/Hashimoto''s thyroiditis w/hypothyroidism 2/2006. 10/10/08 Reviewed OB/GYN notes of 1/11/06-8/26/2008. FINAL DX: goiter, dysfunctional uterine bleeding, Records reveal thyroid enlarged. Referred to endocrinologist. 4/19/07 parent called office w/reports of body aches, dizziness, chest congestion, HA starting after 2nd HPV vaccine on 4/7/07. Improved w/NSAIDS.

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