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This is VAERS ID 383350

Case Details

VAERS ID: 383350 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Montana  
Vaccinated:2009-07-09
Onset:2009-07-29
   Days after vaccination:20
Submitted: 2010-03-23
   Days after onset:237
Entered: 2010-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS ALTAVB350AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1130X / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2914AA / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471AA / 1 LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Autoimmune disorder, Blood test, Bone scan, Hypoaesthesia, Juvenile arthritis, Sensory loss, X-ray
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Arthritis (narrow)

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:
Current Illness: no
Preexisting Conditions: no.
Allergies:
Diagnostic Lab Data: We took blood tests and were sent to the Hospital. They ran blood tests, took bone scans, took x-rays, etc.
CDC Split Type:

Write-up: My daughter received her vaccination and in August she started showing symptoms. Her limbs were becoming numb. She was loosing feeling in different parts of her body. At the end of August, she was diagnosed with the auto-immune disease Juvenile Rheumatoid Arthritis.


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