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This is VAERS ID 393022

Case Details

VAERS ID: 393022 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: California  
   Days after vaccination:11
Submitted: 2010-07-16
   Days after onset:128
Entered: 2010-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0914X / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Abdominal X-ray, Abdominal pain upper, Blood test, Dizziness, Fatigue, Headache, Malaise, Skull X-ray, Stool analysis, Urine analysis
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: No
Preexisting Conditions: None
Diagnostic Lab Data: Blood tests, urine, stool, head and abdomen X-rays.
CDC Split Type:

Write-up: Light headed, dizzy, head ache, general malaise, fatigue, stomach ache.

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