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This is VAERS ID 282913

Case Details

VAERS ID: 282913 (history)  
Age: 14.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-06-14
Onset:2007-06-14
   Days after vaccination:0
Submitted: 2007-06-26
   Days after onset:12
Entered: 2007-06-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood glucose increased, Dizziness, Feeling abnormal, Hyperglycaemia, Lethargy
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: diagnostic laboratory 06/15/07 - not diabetic, fasting blood glucose 06/15/07 176
CDC Split Type: WAES0706USA03415

Write-up: Information has been received from a physician concerning a 14 year old female, with no pertinent medical history, who on 14-JUN-2007 was vaccinated IM, with a first dose of Gardasil (lot # "02630"). There was no concomitant medication. Approximately, on 14-JUN-2007 it was reported the patient was "light-headed", "out of it", and lethargic. On 15-JUN-2007 the patient had to be carried into the physicians office. Her sugar level was at 176 (hyperglycemic). She was tested for diabetes but it came back "negative". It was reported that by 16-JUN-2007 the patient "was feeling much better." The physician considered "light-headed", "out of it", lethargic, and a sugar level at 176 to be disabling. Additional information has been requested.


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