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This is VAERS ID 364710

Case Details

VAERS ID: 364710 (history)  
Form: Version 1.0  
Gender: Female  
Location: Illinois  
Submitted: 2009-11-02
Entered: 2009-11-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Coma, Neurological symptom
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0910USA02673

Write-up: Information has been received from a physician who heard from a Nurse concerning a young female who was vaccinated on an unspecified date with GARDASIL (Lot number was not available). The reporter stated that the patient experienced neurological side effects and entered a coma for a length of time after receiving GARDASIL. It also was stated that the patient "had gone through a lot of things but they felt it was from GARDASIL because of process of elimination". It was reported that "unspecified test" were performed on an unknown dates. The reporter mentioned that the patient was hospitalized for an unspecified length of time. At the time of reporting the patient had not recovered. "Attempts are being made to verify the existence of an identifiable patient". Additional information had been requested. Patient was hospitalized.

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