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This is VAERS ID 391817

Case Details

VAERS ID: 391817 (history)  
Age: 14.0  
Gender: Female  
Location: Oklahoma  
Vaccinated:2007-02-05
Onset:2007-03-26
   Days after vaccination:49
Submitted: 2010-06-30
   Days after onset:1192
Entered: 2010-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 AR / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1875AA / 0 AR / UN

Administered by: Public       Purchased by: Private
Symptoms: Dehydration, Fatigue, Hypothyroidism, Type 1 diabetes mellitus, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Hypothyroidism (narrow)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data: Doctor ran all tests and blood work.
CDC Split Type:

Write-up: Over a 3 week period patient lost 20 pounds, extremely tired, & dehydrated. On 3-26-07 she was diagnosed with Type 1 Diabetes and Hypothyroid. She was admitted with a 1075 blood sugar. No family history of Diabetes.


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