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This is VAERS ID 340503

Case Details

VAERS ID: 340503 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-02-23
Entered: 2009-02-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Eating disorder, Gastrointestinal disorder, Hypoaesthesia, Pain
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0902USA02699

Write-up: Information was viewed on the internet concerning a 14-year-old female patient, who on an unspecified date was vaccinated with a dose (s) of GARDASIL. It was reported that the patient has been "suffering since September 2008, she is now in her third hospital". It was also reported that she "has nearly died from this vaccine. She can not eat anything, her digestive system and intestines have shut down, she had the numbness in her legs and the horrible pain. She has nearly lost her entire freshman year of high school, her mother has not been able to work since September". No further information is expected.


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