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This is VAERS ID 290364

Case Details

VAERS ID: 290364 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2007-08-13
Onset:2007-08-13
   Days after vaccination:0
Submitted: 2007-08-30
   Days after onset:17
Entered: 2007-09-12
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Anxiety, Hypomania, Insomnia, Laboratory test, Mental status changes, Mood altered, Nuclear magnetic resonance imaging normal, Panic attack, Psychotic disorder
SMQs:, Systemic lupus erythematosus (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Allergy to penicillin, seasonal allergies
Allergies:
Diagnostic Lab Data: Neg. lab test, neg. MRI
CDC Split Type:

Write-up: Sudden onset insomnia, hypomania, anxiety and panic attacks followed by 5 days of psychosis with mental status change.


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