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This is VAERS ID 424767

Case Details

VAERS ID: 424767 (history)  
Age: 14.0  
Gender: Female  
Location: Oregon  
Vaccinated:2011-02-14
Onset:2011-05-27
   Days after vaccination:102
Submitted: 2011-06-03
   Days after onset:7
Entered: 2011-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0768Z / 2 AR / IJ

Administered by: Unknown       Purchased by: Private
Symptoms: Anti-insulin antibody positive, Anti-thyroid antibody positive, Cyst, Infection, Type 1 diabetes mellitus, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Hypothyroidism (broad), Hyperthyroidism (broad), Hypersensitivity (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications Patient had 3 HPV shots on the following dates: 08/06/2009 11/18/2010 02/14/2011
Current Illness: No
Preexisting Conditions: Only minor allergy to cats
Diagnostic Lab Data: Patient is diagnosed with antibodies against the pancreatic/insulin function and also antibodies against the thyroid. Diagnosed Type 1 diabetes now and dependent on insulin
CDC Split Type:

Write-up: Diagnosed with Type 1 diabetes, however the onset probably happened earlier, with 14 pound weight loss noted during the 2 to 3 weeks after the third course of HPV vaccination. Patient also had a large cyst (infection, not at the shot site) within days after the third vaccination (02/14/2011) which could indicate high blood sugar.


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