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This is VAERS ID 336474

Case Details

VAERS ID: 336474 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Ohio  
Vaccinated:2008-03-12
Onset:2008-03-12
   Days after vaccination:0
Submitted: 2008-12-18
   Days after onset:281
Entered: 2009-01-05
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, Arthralgia, Depression, Dizziness, Fatigue, Headache, Irritability, Menstrual disorder, Muscle spasms, Syncope, Vision blurred, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Seasonal allergies; Patient was very healthy before this shot and the only conditions that she had or has is seasonal allergies.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: After my daughter received her 1st shot of 3 (to complete full dose) she started having problems soon after.- light headed, dizziness, fainting, fatigue, loss of appetite, change in menstrual cycle, blurred vision, headaches, joint hip pain, irritability, depression, throwing up and bad cramps. FYI- we opted out of the last two shots. Took patient to regular Dr. appt. We were than told that she should get the HPV shot I was reluctant because I don''t have or never had cervical cancer and neither had my mother. They said she would need 3 series of shots all together. After the 1st shot (3/12/08) we started to notice all the symptoms that are describe on page 1. She was a tract runner for her school and very good at that. But after the shot anytime she would run she would throw up and cramp right after. Once she was able to make it half way when she was running 100 yard dash. 1/22/09 Received PCP clinic medical records of 3/12/08 FINAL DX: none provided Records reveal patient experienced rash on abdomen waxing & waning since 12/07. Only dry skin found on exam & tx w/lotion. No other records available. 02/01/2010 Still has side/hip pain whenever she over erats herself insports.


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