National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 424780

Case Details

VAERS ID: 424780 (history)  
Age: 13.0  
Gender: Female  
Location: Washington  
Vaccinated:2006-12-19
Onset:2007-02-02
   Days after vaccination:45
Submitted: 2011-06-04
   Days after onset:1582
Entered: 2011-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2281AA / 0 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0804F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Blood immunoglobulin A decreased, Blood test, Fatigue, Lymphadenopathy, Malaise, Memory impairment, Neutropenia, Nuclear magnetic resonance imaging, Oropharyngeal pain, Pharyngitis streptococcal, Pneumonia, Sinusitis, Stomatitis, Upper respiratory tract infection, X-ray
SMQs:, Severe cutaneous adverse reactions (broad), Agranulocytosis (broad), Haematopoietic leukopenia (narrow), Dementia (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: none
Diagnostic Lab Data: blood, x-rays, MRI - as required
CDC Split Type:

Write-up: initial onset of on-going upper respiratory infections, swollen glands, sore throat, sinus infections, joint pain, fatigue, general unwell feeling, short term memory problems, mild neutropenia, pneumonia, strep throat, low IgA, mouth sores; on-going: not yet resolved


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=424780


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166