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This is VAERS ID 292483

Case Details

VAERS ID: 292483 (history)  
Age: 16.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-08-17
Onset:2007-09-28
   Days after vaccination:42
Submitted: 2007-10-08
   Days after onset:10
Entered: 2007-10-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 02464 / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 62331AA / 0 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 08474 / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Attention deficit/hyperactivity disorder, Personality disorder, Suicide attempt, Vaccine positive rechallenge
SMQs:, Suicide/self-injury (narrow), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: LITHOBID 600mg BID, EFFEXOR XR 112.5mg QD, ABILIFY 10mg daily
Current Illness:
Preexisting Conditions: ADHD, Bipolar, Turette''s. PMH: Tourette Syndrome. Repeated inpatient psychiatric stays 2'' to depression. Allergy to Lexapro.
Diagnostic Lab Data: Labs and Diagnostics: Labs WNL except Cholesterol 204 and Triglycerides 183.
CDC Split Type:

Write-up: 42 days after administration of Gardasil #1 and 42 days after administration of Gardasil #2 this child attempted suicide. 11/08/2007 MR received for DOS 7/25-31/2007 for D/C DX Depressive Disorder NOS, Mood Disorder NOS, ADHD, and Reactive Attachment Disorder R/O Borderline S/P overdose with Tylenol and DOS 10/4-12/2007 with DX: Depression, NOS. Mood disorder. Very strong traits of borderline personality disorder, superficial cuts, self inflicted. Pt was admitted to hospital on 7/25/07 after recent attempted suicide by overdosing with Tylenol. Improvement during hospital stay however struggling with self-harming behavior. Readmitted 10/4/07 after engaging in self abusive and self destructive behavior. Carved 666 on leg and was popping pills wanting to kill herself. Pt remained at risk for self harming upon D/C. Per 60 day follow up: Pt was referred for two suicide attempts after GARDASIL. Pt was depressed before episodes, and remains in treatment for depression, etc. causation unclear. 1/12/2010 Still has mood disorder (bipolar) and Tlc disvrei refraction to meds. She is a cutter.


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