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This is VAERS ID 323639

Case Details

VAERS ID:323639 (history)  Vaccinated:2008-04-17
Age:13.0  Onset:2008-06-15, Days after vaccination: 59
Gender:Female  Submitted:2008-08-28, Days after onset: 74
Location:New York  Entered:2008-08-28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: hair loss~Vaccine not specified (no brand name)~2~14~In Patient
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: ENVIRONMENTAL ALLERGIES
Diagnostic Lab Data: lab tests cbc and thyroid still pending. will have results within one week from today (August 28,2008)
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURERUNK1IMRA
Administered by: Private     Purchased by: Private
Symptoms: Alopecia, Full blood count, Thyroid function test
SMQs:
Write-up: 2 out of 3 shots of GARDASIL administered. Alopecia was the diagnosis after seeing doctor August 27, 2008. Blotchy hair loss in the front of her head (pictures taken) 1st shot given in November, 2007 and second given in April, 2008. Hair loss began approx. June, 2008 and is progressively getting worse. Doctor prescribed Selenium Sulfide Lotion to use twice a week for 2 weeks. Does not believe there will be a change. Also went for blood work to check thyroid (August 28, 2008) Results not given as of yet.

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