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This is VAERS ID 405873

Case Details

VAERS ID: 405873 (history)  
Age: 15.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-06-22
Onset:2008-07-23
   Days after vaccination:397
Submitted: 2010-10-28
   Days after onset:827
Entered: 2010-10-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0319U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2296AA / 0 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Rash pruritic, Type 1 diabetes mellitus
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: 2 Hospitals diagnosed with Diabetes Type 1.
CDC Split Type:

Write-up: Had strange itchy rash months before diagnosis, doctors recommended taking Claritan, did not diagnose. Also had DM Type 1 symptoms months before diagnosis.


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