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This is VAERS ID 356032

Case Details

VAERS ID: 356032 (history)  
Age: 13.0  
Gender: Female  
Location: Unknown  
Vaccinated:2008-06-19
Onset:2009-04-21
   Days after vaccination:306
Submitted: 2009-08-25
   Days after onset:126
Entered: 2009-08-31
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10634 / 2 LA / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Computerised tomogram, Kidney infection, Mass
SMQs:

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. PMH: Myringotomy tubes, UTI''s, acne, on OCP''s.
Diagnostic Lab Data: CAT Scan; Pharmaceutical agents; Hospitalization; Seeing a surgeon 8/28/09. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Labs and diagnostics: Urine HGB Moderate-Abnormal, Leukocyte esterase Trace-Abnormal, Urine WBC''s 16 (H), Bacteria Few (H). WBC Count 12.6 (H). CT Abdomen and pelvis: Acute R pyelonephritis. Urine culture $g 100,000 colonies E. coli.
CDC Split Type:

Write-up: My daughter received all three injections of GARDASIL. Since receiving the last injection, she has been hospitalized with severe kidney infections and now has an odd mass on her head. We are seeing a surgeon on Friday 8/28/09 about removing the the mass on her head. My daughter has NEVER been sick before. She is 14 years old and only became sick since receiving the GARDASIL vaccine. Please help us to put an end to this horrible drug. Thank you. 10/7/09: Vaccine record received for date of service 6/19/08, VAERS updated. 10/26/09: Urgent Care Records received for date of service 6/25/09 and Hospital Records received for dates of service 4/21/09 to 4/24/09. Dx: UTI and Acute R Pyelonephritis. Assessment: Admitted for acute R pyelonephritis on 4/21/09 and started on IV antibiotic therapy. Seen again on 6/25/09 for frequency and burning on urination: UTI, prescribed amoxicillin. ICD 9 Codes: 599.0, 041.02, 706.1, 590.80.


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