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This is VAERS ID 292483

Case Details

VAERS ID:292483 (history)  Vaccinated:2007-08-17
Age:16.0  Onset:2007-09-28, Days after vaccination: 42
Gender:Female  Submitted:2007-10-08, Days after onset: 10
Location:Wisconsin  Entered:2007-10-09, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPA: HEP A (VAQTA)MERCK & CO. INC.024640UNLA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR62331AA0SCLA
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.084741UNLA
Administered by: Private     Purchased by: Private
Symptoms: Affective disorder, Attention deficit/hyperactivity disorder, Blood cholesterol increased, Blood triglycerides increased, Borderline personality disorder, Depression, Intentional self-injury, Overdose, Personality disorder, Reactive attachment disorder of infancy or early childhood, Self-injurious ideation, Suicide attempt, Vaccine positive rechallenge
SMQs:, Dyslipidaemia (narrow), Suicide/self-injury (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Drug abuse and dependence (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (narrow), Depression (excl suicide and self injury) (narrow), Lipodystrophy (broad)
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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