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This is VAERS ID 356323

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 356323
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Agitation, Asthenia, Biopsy muscle abnormal, Blood bilirubin increased, Blood cholesterol increased, Blood creatinine decreased, Blood glucose increased, Blood potassium increased, Blood product transfusion, Blood sodium decreased, Blood urea increased, C-reactive protein increased, Convulsion, CSF oligoclonal band present, Disinhibition, Eating disorder, Electroencephalogram abnormal, Encephalitis, Glycosylated haemoglobin increased, Heart rate increased, Hypoaesthesia, Impulsive behaviour, Insomnia, Lacrimation increased, Low density lipoprotein increased, Lumbar puncture abnormal, Mean cell volume increased, Measles antibody positive, Nuclear magnetic resonance imaging brain abnormal, Oral contraception, Pain, Palpitations, Panic attack, PCO2 decreased, PO2 increased, Salivary hypersecretion, Sinus tachycardia, Skin discolouration, Thyroxine decreased, Tri-iodothyronine decreased, Vomiting, White blood cells urine positive, Red blood cell sedimentation rate increased, Neutrophil percentage increased, Red cell distribution width increased, Thyroxine free decreased, Cognitive disorder, Anti-thyroid antibody positive, Ultrasound thyroid normal, Abnormal behaviour, Herpes simplex serology positive, Amino acid level abnormal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) N
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 1/5/2010

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U 0089U / 1 LA LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Agitation, Asthenia, Biopsy muscle abnormal, Blood bilirubin increased, Blood cholesterol increased, Blood creatinine decreased, Blood glucose increased, Blood potassium increased, Blood product transfusion, Blood sodium decreased, Blood urea increased, C-reactive protein increased, Convulsion, CSF oligoclonal band present, Disinhibition, Eating disorder, Electroencephalogram abnormal, Encephalitis, Glycosylated haemoglobin increased, Heart rate increased, Hypoaesthesia, Impulsive behaviour, Insomnia, Lacrimation increased, Low density lipoprotein increased, Lumbar puncture abnormal, Mean cell volume increased, Measles antibody positive, Nuclear magnetic resonance imaging brain abnormal, Oral contraception, Pain, Palpitations, Panic attack, PCO2 decreased, PO2 increased, Salivary hypersecretion, Sinus tachycardia, Skin discolouration, Thyroxine decreased, Tri-iodothyronine decreased, Vomiting, White blood cells urine positive, Red blood cell sedimentation rate increased, Neutrophil percentage increased, Red cell distribution width increased, Thyroxine free decreased, Cognitive disorder, Anti-thyroid antibody positive, Ultrasound thyroid normal, Abnormal behaviour, Herpes simplex serology positive, Amino acid level abnormal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) N
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 7/31/2010

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Asthenia, Computerised tomogram normal, Convulsion, Diabetes mellitus, Ear pain, Electrocardiogram abnormal, Electrocardiogram normal, Encephalitis, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Insomnia, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Neutrophil count increased, Otitis media, Pain, Protein total increased, Skin discolouration, Thyroxine increased, Vomiting, Platelet count increased, Cardiac monitoring normal, Thyroxine free increased, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) N
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 8/31/2010

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Asthenia, Computerised tomogram normal, Convulsion, Diabetes mellitus, Disinhibition, Ear pain, Electrocardiogram abnormal, Electrocardiogram normal, Encephalitis, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Insomnia, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Neutrophil count increased, Otitis media, Pain, Protein total increased, Skin discolouration, Thyroxine increased, Vomiting, Platelet count increased, Cardiac monitoring normal, Thyroxine free decreased, Thyroxine free increased, Ultrasound thyroid normal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) N
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 1/4/2011

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Asthenia, Computerised tomogram normal, Convulsion, Diabetes mellitus, Disinhibition, Ear pain, Electrocardiogram abnormal, Electrocardiogram normal, Encephalitis, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Insomnia, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Neutrophil count increased, Otitis media, Pain, Protein total increased, Skin discolouration, Thyroxine increased, Vomiting, Platelet count increased, Cardiac monitoring normal, Thyroxine free decreased, Thyroxine free increased, Ultrasound thyroid normal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) N Neutrophil 68% (H). Sed Rate 21 mm/hr (H). C-reactive Protein 1.1 mg/dL (H). CHEM - NA 135 mmol/L (L) K 5.5 mmol/L (H) Glucose 538 mg/dL (H) BUN 31 mg/dL (H) Creatinine 0.47 mg/dL (L) Bilirubin 1.1 mg/dL (H) Chol 226 mg/dL (H) LDL Chol 149 mg/dL (H). PCO2 34 mmHg (L) PO2 64 mmHg (H) LABS and DIAGNOSTICS: Lumbar Puncture - Oligoclonal bands (+). Blood glucose 157-300 (H). Rubeola IgG Antibody (+). HSV IgG (+). Urinalysis - 15 WBC (H). A1c 8.3 (H). Urine and Serum Amino Acids abnormal. Total T4 1.2 ug/dL (L).
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 4/13/2011

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Agitation, Asthenia, Biopsy muscle abnormal, Blood bilirubin increased, Blood cholesterol increased, Blood creatinine decreased, Blood glucose increased, Blood potassium increased, Blood product transfusion, Blood sodium decreased, Blood urea increased, C-reactive protein increased, Computerised tomogram normal, Convulsion, CSF oligoclonal band present, Diabetes mellitus, Disinhibition, Ear pain, Eating disorder, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram abnormal, Encephalitis, Glycosylated haemoglobin increased, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Impulsive behaviour, Insomnia, Lacrimation increased, Low density lipoprotein increased, Lumbar puncture abnormal, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Mean cell volume increased, Measles antibody positive, Neutrophil count increased, Nuclear magnetic resonance imaging brain abnormal, Oral contraception, Otitis media, Pain, Palpitations, Panic attack, PCO2 decreased, PO2 increased, Protein total increased, Salivary hypersecretion, Sinus tachycardia, Skin discolouration, Thyroxine decreased, Thyroxine increased, Tri-iodothyronine decreased, Vomiting, White blood cells urine positive, Red blood cell sedimentation rate increased, Platelet count increased, Neutrophil percentage increased, Cardiac monitoring normal, Red cell distribution width increased, Thyroxine free decreased, Thyroxine free increased, Cognitive disorder, Anti-thyroid antibody positive, Ultrasound thyroid normal, Abnormal behaviour, Herpes simplex serology positive, Amino acid level abnormal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) Neutrophil 68% (H). Sed Rate 21 mm/hr (H). C-reactive Protein 1.1 mg/dL (H). CHEM - NA 135 mmol/L (L) K 5.5 mmol/L (H) Glucose 538 mg/dL (H) BUN 31 mg/dL (H) Creatinine 0.47 mg/dL (L) Bilirubin 1.1 mg/dL (H) Chol 226 mg/dL (H) LDL Chol 149 mg/dL (H). PCO2 34 mmHg (L) PO2 64 mmHg (H) LABS and DIAGNOSTICS: Lumbar Puncture - Oligoclonal bands (+). Blood glucose 157-300 (H). Rubeola IgG Antibody (+). HSV IgG (+). Urinalysis - 15 WBC (H). A1c 8.3 (H). Urine and Serum Amino Acids abnormal. Total T4 1.2 ug/dL (L).
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 5/13/2011

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Agitation, Asthenia, Biopsy muscle abnormal, Blood bilirubin increased, Blood cholesterol increased, Blood creatinine decreased, Blood glucose increased, Blood potassium increased, Blood product transfusion, Blood sodium decreased, Blood urea increased, C-reactive protein increased, Computerised tomogram normal, Convulsion, CSF oligoclonal band present, Diabetes mellitus, Disinhibition, Ear pain, Eating disorder, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram abnormal, Encephalitis, Glycosylated haemoglobin increased, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Impulsive behaviour, Insomnia, Lacrimation increased, Low density lipoprotein increased, Lumbar puncture abnormal, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Mean cell volume increased, Measles antibody positive, Neutrophil count increased, Nuclear magnetic resonance imaging brain abnormal, Oral contraception, Otitis media, Pain, Palpitations, Panic attack, PCO2 decreased, PO2 increased, Protein total increased, Salivary hypersecretion, Sinus tachycardia, Skin discolouration, Thyroxine decreased, Thyroxine increased, Tri-iodothyronine decreased, Vomiting, White blood cells urine positive, Red blood cell sedimentation rate increased, Platelet count increased, Neutrophil percentage increased, Cardiac monitoring normal, Red cell distribution width increased, Thyroxine free decreased, Thyroxine free increased, Cognitive disorder, Anti-thyroid antibody positive, Ultrasound thyroid normal, Abnormal behaviour, Herpes simplex serology positive, Amino acid level abnormal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) Neutrophil 68% (H). Sed Rate 21 mm/hr (H). C-reactive Protein 1.1 mg/dL (H). CHEM - NA 135 mmol/L (L) K 5.5 mmol/L (H) Glucose 538 mg/dL (H) BUN 31 mg/dL (H) Creatinine 0.47 mg/dL (L) Bilirubin 1.1 mg/dL (H) Chol 226 mg/dL (H) LDL Chol 149 mg/dL (H). PCO2 34 mmHg (L) PO2 64 mmHg (H) LABS and DIAGNOSTICS: Lumbar Puncture - Oligoclonal bands (+). Blood glucose 157-300 (H). Rubeola IgG Antibody (+). HSV IgG (+). Urinalysis - 15 WBC (H). A1c 8.3 (H). Urine and Serum Amino Acids abnormal. Total T4 1.2 ug/dL (L).
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 6/11/2011

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Agitation, Asthenia, Biopsy muscle abnormal, Blood bilirubin increased, Blood cholesterol increased, Blood creatinine decreased, Blood glucose increased, Blood potassium increased, Blood product transfusion, Blood sodium decreased, Blood urea increased, C-reactive protein increased, Computerised tomogram normal, Convulsion, CSF oligoclonal band present, Diabetes mellitus, Disinhibition, Ear pain, Eating disorder, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram abnormal, Encephalitis, Glycosylated haemoglobin increased, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Impulsive behaviour, Insomnia, Lacrimation increased, Low density lipoprotein increased, Lumbar puncture abnormal, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Mean cell volume increased, Measles antibody positive, Neutrophil count increased, Nuclear magnetic resonance imaging brain abnormal, Oral contraception, Otitis media, Pain, Palpitations, Panic attack, PCO2 decreased, PO2 increased, Protein total increased, Salivary hypersecretion, Sinus tachycardia, Skin discolouration, Thyroxine decreased, Thyroxine increased, Tri-iodothyronine decreased, Vomiting, White blood cells urine positive, Red blood cell sedimentation rate increased, Platelet count increased, Neutrophil percentage increased, Cardiac monitoring normal, Red cell distribution width increased, Thyroxine free decreased, Thyroxine free increased, Cognitive disorder, Anti-thyroid antibody positive, Ultrasound thyroid normal, Abnormal behaviour, Herpes simplex serology positive, Amino acid level abnormal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) Neutrophil 68% (H). Sed Rate 21 mm/hr (H). C-reactive Protein 1.1 mg/dL (H). CHEM - NA 135 mmol/L (L) K 5.5 mmol/L (H) Glucose 538 mg/dL (H) BUN 31 mg/dL (H) Creatinine 0.47 mg/dL (L) Bilirubin 1.1 mg/dL (H) Chol 226 mg/dL (H) LDL Chol 149 mg/dL (H). PCO2 34 mmHg (L) PO2 64 mmHg (H) LABS and DIAGNOSTICS: Lumbar Puncture - Oligoclonal bands (+). Blood glucose 157-300 (H). Rubeola IgG Antibody (+). HSV IgG (+). Urinalysis - 15 WBC (H). A1c 8.3 (H). Urine and Serum Amino Acids abnormal. Total T4 1.2 ug/dL (L).
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


Changed on 2/14/2017

VAERS ID: 356323 Before After
Age:13.0
Gender:Female
Location:New Mexico
Vaccinated:2007-06-05
Onset:2007-07-22
Submitted:2009-08-25
Entered:2009-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Agitation, Asthenia, Biopsy muscle abnormal, Blood bilirubin increased, Blood cholesterol increased, Blood creatinine decreased, Blood glucose increased, Blood potassium increased, Blood product transfusion, Blood sodium decreased, Blood urea increased, C-reactive protein increased, Computerised tomogram normal, Convulsion, CSF oligoclonal band present, Diabetes mellitus, Disinhibition, Ear pain, Eating disorder, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram abnormal, Encephalitis, Glycosylated haemoglobin increased, Haemoglobin increased, Heart rate increased, Hypertension, Hypoaesthesia, Impulsive behaviour, Insomnia, Lacrimation increased, Low density lipoprotein increased, Lumbar puncture abnormal, Lymphocyte count decreased, Mean cell haemoglobin concentration increased, Mean cell volume increased, Measles antibody positive, Neutrophil count increased, Nuclear magnetic resonance imaging brain abnormal, Oral contraception, Otitis media, Pain, Palpitations, Panic attack, PCO2 decreased, PO2 increased, Protein total increased, Salivary hypersecretion, Sinus tachycardia, Skin discolouration, Thyroxine decreased, Thyroxine increased, Tri-iodothyronine decreased, Vomiting, White blood cells urine positive, Red blood cell sedimentation rate increased, Platelet count increased, Neutrophil percentage increased, Cardiac monitoring normal, Red cell distribution width increased, Thyroxine free decreased, Thyroxine free increased, Cognitive disorder, Anti-thyroid antibody positive, Ultrasound thyroid normal, Abnormal behaviour, Herpes simplex serology positive, Amino acid level abnormal, Vulvovaginal mycotic infection, Type 1 diabetes mellitus, Brain injury

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 123     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Type I DM; Mild cerebral palsy but was an honor student. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Mild spastic diplegia cerebral palsy. Insulin-dependent diabetes mellitus.
Diagnostic Lab Data: 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. LABS and DIAGNOSTICS: Thyroid Ultrasound - Normal. TSH -Normal. Thyroid Peroxides Antibodies 66.1 elevated. EEG - Abnormal. MRI Brain - Abnormal. CBC - MCV 94 (H) RDWC 14.6% (H) Neutrophil 68% (H). Sed Rate 21 mm/hr (H). C-reactive Protein 1.1 mg/dL (H). CHEM - NA 135 mmol/L (L) K 5.5 mmol/L (H) Glucose 538 mg/dL (H) BUN 31 mg/dL (H) Creatinine 0.47 mg/dL (L) Bilirubin 1.1 mg/dL (H) Chol 226 mg/dL (H) LDL Chol 149 mg/dL (H). PCO2 34 mmHg (L) PO2 64 mmHg (H) LABS and DIAGNOSTICS: Lumbar Puncture - Oligoclonal bands (+). Blood glucose 157-300 (H). Rubeola IgG Antibody (+). HSV IgG (+). Urinalysis - 15 WBC (H). A1c 8.3 (H). Urine and Serum Amino Acids abnormal. Total T4 1.2 ug/dL (L).
CDC 'Split Type':

Write-up:Aggression, seizures, rapid heart rate, brain damage, weakness, no sleep, changing skin color & textures, pain, numbness. 9/14/09 Hospital records received DOS 3/13/08 to 4/7/08. Assessment: Seizure activity with behavioral disorder. Insulin dependent diabetes mellitus. Patient transferred from another facility. Behavioral changes including defiance and disinhibited behaviors. Palpitations and transient sinus tachycardia. Agitation, aggression. Panic attacks. IVIG administration. 9/14/09 Hospital records received DOS 3/13/08 to 7/15/08. Additional information abstracted. Assessment: Meningoencephalitis with neurocognitive disturbance and disinhibition. Vaginal yeast infection. Patient c/o of palpitations. Emesis. Impulsive, compulsive eating behaviors. Increased lacrimation and salivation. Oral contraception. ICD-9 Codes: 345.90, 323.9, 341.9, 343.0, 293.0 307.51, 345.40, 343.9, 302.70, 312.9, 294.9, 310.1 293.84, 309.81, 296.90, 780.52, 250.92, 706.1, 274.9, 626.0 112.1 V15.81, V58.67, 313.81, 345.40, 293.89, 250.01, 298.9


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