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This is VAERS ID 339252

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 339252
Age:9.0
Gender:Female
Location:Foreign
Vaccinated:2007-07-26
Onset:2007-08-01
Submitted:2009-02-06
Entered:2009-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Alopecia areata, Hypothyroidism, Culture negative, Type 1 diabetes mellitus

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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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