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This is VAERS ID 375693

Case Details

VAERS ID: 375693 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Texas  
Vaccinated:2008-01-08
Onset:2008-03-01
   Days after vaccination:53
Submitted: 2010-01-03
   Days after onset:673
Entered: 2010-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 1 AR / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdomen scan, Abdominal pain upper, Acne, Anxiety, Blood test, Computerised tomogram, Depression, Dyspepsia, Fatigue, Feeling abnormal, Influenza like illness, Malaise, Myalgia, Stool analysis, Ulcer, Urine analysis, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Dementia (broad), Gastrointestinal ulceration (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications:
Current Illness: Muscle Aches
Preexisting Conditions: Allergies-Sulfur Drugs
Allergies:
Diagnostic Lab Data: All kinds of blood labs, x-rays, stomach scans, ct scan, urine/stool analysis
CDC Split Type:

Write-up: Between 1st & 2nd shot of Gardasil patient developed severe stomach pain, cramping, and burning that lasted weeks. Muscle aches and overall feeling of not being well. In August 2009 patient had flu like symptoms, anxiety, depression, fatigue, ulcers, acne, overall feeling of illness or impending death.


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