National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 292483

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 292483 (history)  
Form: Version .0  
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 (MENACTRA) / SANOFI PASTEUR 62331AA / 0 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 08474 / 1 LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Affective disorder, Blood cholesterol increased, Blood triglycerides increased, Borderline personality disorder, Depression
SMQs:, Dyslipidaemia (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Psychosis and psychotic disorders (broad), Hostility/aggression (narrow), Depression (excl suicide and self injury) (narrow), Lipodystrophy (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? 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
Allergies:
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.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=292483


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166