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This is VAERS ID 292483

(NOTE: This result is from the 7/31/2010 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 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
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. PMH: Tourette Syndrome. Repeated inpatient psychiatric stays 2'' to depression. Allergy to Lexapro.
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. 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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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20100731&IDNUMBER=292483


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