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This is VAERS ID 350021

Case Details

VAERS ID: 350021 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-08-06
Onset:2007-12-01
   Days after vaccination:117
Submitted: 2009-06-24
   Days after onset:570
Entered: 2009-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 3 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Deafness bilateral, Hearing aid user
SMQs:, Hearing impairment (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: ADDERALL XR
Current Illness: acne; finger injury
Preexisting Conditions: 7/8/09 Medical records received DOS 8/6/07 to 6/24/09. ADD. Ingrown toenail. Acute bronchitis. Allergic rhinitis.
Allergies:
Diagnostic Lab Data: failed school hearing test
CDC Split Type:

Write-up: Mom stated Pt developed hearing loss to both ears Dec 07 shortly after completing GARDASIL series. Dose #1 1/23/07 - Dose#2 3/29/07 - Dose#3 8/6/07 - Pt now wears hearing aids. 7/8/09 Medical records received DOS 8/6/07 to 6/24/09. Assessment: Hearing impaired in both ears. Patient''s parent reports that child has failed school hearing test, now wears hearing aids. Acne, headaches, fatigue. Palpitations. Urinating more frequently. Dizziness. Mood swings. Menstrual cycles heavy and irregular. Thoracic spine, mild curvature to the left.


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