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This is VAERS ID 339252

(NOTE: This result is from the 2/14/2018 version of the VAERS database)

Case Details

VAERS ID: 339252 (history)  
Form: Version 1.0  
Age: 9.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:6
Submitted: 2009-02-06
   Days after onset:555
Entered: 2009-02-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain upper, Alopecia areata, Culture negative, Hypothyroidism, Type 1 diabetes mellitus
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypothyroidism (narrow)

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: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: vaginal culture, ??Jul07, negative for vaginitis
CDC Split Type: WAES0901CAN00049

Write-up: Information has been received from a physician concerning a 9 year old female who on 26-JUL-2007 was vaccinated with the first dose of GARDASIL, lot # not available. There was no concomitant medication. In July 2007 the physician reported that patient had a C & S negative for vaginitis before vaccine started. In approximately August 2007, the patient experienced hypothyroidism. On 14-AUG-2007 the patient was diagnosed with insulin dependent diabetes mellitus (IDDM). In November 2007, the patient experienced alopecia areata. Subsequently the patient experienced tummy ache. On 31-JAN-2008 the physician reported that the patient had her third dose of GARDASIL, lot # not available. IDDM, hypothyroidism and alopecia areata were considered to be permanent or substantial disabilities by the physician. Additional information has been requested.

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