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This is VAERS ID 355009

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 355009
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2008-12-10
Onset:2008-12-30
Submitted:2009-08-18
Entered:2009-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0548X / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Anion gap increased, Asthenia, Blood albumin increased, Blood creatinine normal, Blood glucose increased, Blood insulin decreased, Blood potassium decreased, Blood potassium normal, Blood pressure increased, Blood sodium normal, Blood urea decreased, Carbon dioxide decreased, Constipation, Diabetic ketoacidosis, Fatigue, Glucose urine present, Glycosylated haemoglobin increased, Haematocrit increased, Haemoglobin increased, Headache, Increased appetite, Mean cell haemoglobin increased, Muscle atrophy, Pyrexia, Red blood cell count increased, Tachycardia, Thirst, Vomiting, Weight decreased, Protein urine present, Urine ketone body present, Bacteria urine, Blood test abnormal, Urinary casts present, Type 1 diabetes mellitus

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: 12/30/09 Lab glucose 348; Sodium 136; Potassium 3.5; Chloride 103; CO2 9; Urea Nitrogens 14; Creatinine 1.0. 9/3/09 Hospital records received DOS 12/30/08 to 1/1/09. LABS and DIAGNOSTICS: Home Urine Test - Ketones. Fingerstick blood sugar -
CDC 'Split Type':

Write-up:Diagnosed with Type 1 Diabetes Mellitus 10 days after receiving 3rd dose of GARDASIL vaccine made by Merck. 8/25/09 PCP records rec''d. WCC with no concerns 6/3/08-healthy. HPV#1 given. Returned 12/30/08 with c/o fatigue x several weeks, eating and drinking more than usual and rapid wt loss. Urine (+) for ketones at home. Assessment: Diabetes mellitus. Labs: Urinalysis (+) for protein 30, trace blood, large ketones (160). glucose 1000. BS 358. 9/3/09 Hospital records received DOS 12/30/08 to 1/1/09. Assessment: Diabetes mellitus new onset, Diabetic ketoacidosis. Presented with recent weight loss, increased thirst, increased urination, increased hunger. Generalized weakness, fatigue, headache, fever. Episode of vomiting. Constipation. Decreased muscle bulk.


Changed on 4/14/2017

VAERS ID: 355009 Before After
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2008-12-10
Onset:2008-12-30
Submitted:2009-08-18
Entered:2009-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0548X / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Anion gap increased, Asthenia, Blood albumin increased, Blood creatinine normal, Blood glucose increased, Blood insulin decreased, Blood potassium decreased, Blood potassium normal, Blood pressure increased, Blood sodium normal, Blood urea decreased, Carbon dioxide decreased, Constipation, Diabetic ketoacidosis, Fatigue, Glucose urine present, Glycosylated haemoglobin increased, Haematocrit increased, Haemoglobin increased, Headache, Increased appetite, Mean cell haemoglobin increased, Muscle atrophy, Pyrexia, Red blood cell count increased, Tachycardia, Thirst, Vomiting, Weight decreased, Protein urine present, Urine ketone body present, Bacteria urine, Blood test abnormal, Urinary casts present, Type 1 diabetes mellitus

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: 12/30/09 Lab glucose 348; Sodium 136; Potassium 3.5; Chloride 103; CO2 9; Urea Nitrogens 14; Creatinine 1.0. 9/3/09 Hospital records received DOS 12/30/08 to 1/1/09. LABS and DIAGNOSTICS: Home Urine Test - Ketones. Fingerstick blood sugar - 400. BP 136/91. Tachycardia. CBC - RBC 6.20 10e6/uL (H) Hemoglobin 18.5 g/dL (H) Hematocrit 51.3% (H) MCHC 36.2% (H) CHEM - Anion gap 136 mMol/L (H) Glucose 348 mg/dL (H) Albumin Serum 5.2 g/dL (H) Glycated Hemoglob 13.2% (H) Insulin Level 2 uU/mL (L) Glutamic Acid Decarboxylase 7.00 U/m (H) Potassium 3.1 mMol/L (L) CO2 12 mMol/L (L). Urinalysis - Glucose 1000 mg/dL Protein 20 mg/dL (H) Ketone 150 mg/dL (H) Bacteria present, casts 8 LPF (H).
CDC 'Split Type':

Write-up:Diagnosed with Type 1 Diabetes Mellitus 10 days after receiving 3rd dose of GARDASIL vaccine made by Merck. 8/25/09 PCP records rec''d. WCC with no concerns 6/3/08-healthy. HPV#1 given. Returned 12/30/08 with c/o fatigue x several weeks, eating and drinking more than usual and rapid wt loss. Urine (+) for ketones at home. Assessment: Diabetes mellitus. Labs: Urinalysis (+) for protein 30, trace blood, large ketones (160). glucose 1000. BS 358. 9/3/09 Hospital records received DOS 12/30/08 to 1/1/09. Assessment: Diabetes mellitus new onset, Diabetic ketoacidosis. Presented with recent weight loss, increased thirst, increased urination, increased hunger. Generalized weakness, fatigue, headache, fever. Episode of vomiting. Constipation. Decreased muscle bulk.


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