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This is VAERS ID 358744

Case Details

VAERS ID: 358744 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Unknown  
Submitted: 2009-09-28
Entered: 2009-09-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Alopecia, Asthenia, Back pain, Blood immunoglobulin E increased, Chest pain, Computerised tomogram normal, Diarrhoea, Dizziness, Dyskinesia, Dyspnoea, Feeling abnormal, Gastric disorder, Headache, Heart rate increased, Hypoaesthesia, Malaise, Nausea, Neck pain, Pain, Paraesthesia, Streptococcus identification test positive, Visual impairment, Weight decreased
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Dyskinesia (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Dehydration (broad)

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: Unknown
Current Illness: Gastric disorder
Preexisting Conditions:
Diagnostic Lab Data: hematology, ?/?/09, blood panel: high on immunoglobulin E (131H) and Anti streptolysin O (208H)
CDC Split Type: WAES0909USA03482

Write-up: Information has been received from the patient''s mother via internet. The mother stated that her 16 year old daughter was injured by GARDASIL. On 09-JAN-2009, the patient was vaccinated with the first dose of GARDASIL and on 09-MAR-2008 with the second dose of GARDASIL. Before GARDASIL, she was happy, healthy and vibrant teenager. Since GARDASIL, the patient was sick every day of her life. She had dizziness, overall weakness, numbness and tingling in both legs and left arm, back pain, neck pain, pressure headaches, vision problems, breathing problems, chest pains, racing heartbeats, brain fog, stomach problems, nausea, diarrhea, weight loss, hair loss, jerking all over spells, the list goes on. She was and a/B student but failed her 10th grade year because she was too sick to retain what she was trying to learn (brain fog). she was no longer had energy to go off with her friends. Most days she lays in bed, in pain. The patient had been in the emergency room twice, once by ambulance for stopping breathing 3 times. She was seen several doctors. She had CT scan done. All tests come back normal (which is typical with all of the injured GARDASIL vaccine girls). Her blood panel showed high on immunoglobulin E (131H) and Anti streptolysin O (208H) which the doctor "thought" was rheumatic fever. Another doctor had said he did not believe she had rheumatic fever. Brain fog and energy increased were considered to be disability. This is one of several reports provided by the same source. No further information is available.

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