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This is VAERS ID 391646

Case Details

VAERS ID: 391646 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2010-06-28
   Days after onset:818
Entered: 2010-06-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain upper, Acne cystic, Activities of daily living impaired, Alopecia, Arthralgia, Asthenia, Blood test normal, Computerised tomogram normal, Convulsion, Crying, Depression, Disturbance in attention, Dizziness, Fatigue, Gaze palsy, General physical health deterioration, Joint stiffness, Menstrual disorder, Migraine, Muscle twitching, Myalgia, Nausea, Pain, Pallor, Psychiatric symptom, Scan brain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1006USA03314

Write-up: Information has been received from parents concerning their daughter who in April 2008, was vaccinated with the first dose of GARDASIL (LOT# not reported). The parents reported that their daughter was a healthy, energetic, outgoing, active beautiful girl until the April 2008 when she was administered her first GARDASIL shot. From that day forward, her quality of life has drastically deteriorated. It started when the plunger of the syringe hit the bottom of the tube and she turned pale white, her eyes rolled back in her head; she twitched (as if she was having a seizure) and fainted. For the past two years, their daughter has been suffering debilitating stomach pain, severe migraine headaches, severe hair loss, severe dizziness, severe muscle & joint pain, severe fatigue & weakness, severe seizures & fainting, severe cystic acne and severe menstrual abnormalities, every single one of these painful changes in her life are severe, not mild or normal. The parents stated that they have made numerous trips to doctor''s offices, specialists, alternative medicine practitioners, dermatologists and ER room. She has made numerous CT scans of the stomach and brain as well as many blood tests and general evaluations. All of these tests hadn''t been able to determine the cause of her problems but they started when she was given the GARDASIL shot. Their daughter''s life had greatly deteriorated over the past 2 years and continued to do so. On her good days she felt sick to her stomach, tired and didn''t want to do anything but lay around. She was starting to demonstrate signs of depression; she didn''t want to go visit with her friends anymore because of the constant pain. She was falling behind in her school work because she couldn''t concentrate. Her acne was so bad and she was ashamed to go outside of the house. The parents stated that their daughter (who was an actress) had lost much of her confidence, due to the acne and constant pain, and wasn''t able to audition with the same sparkle she once had. She was a very active girl who loved skiing, 4 wheeling and running with her dog in the mountains behind their house. But now, she couldn''t enjoy these normal activities because of the muscle pain and joint stiffness. This got much worse when it''s cold so she was confined to the house in order to withstand the pain. The patient writhed around on the floor holding her stomach and crying from the pain, or sitting on the couch rubbing her joints to ease the pain. She had to deal with this every day. At this time of reporting, the patient''s outcome was unknown. Upon internal review, severe seizures was considered to be an other important medical event and debilitating stomach pain and, joint and muscle pain were considered to be disabling. Additional information has been requested.

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