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This is VAERS ID 433455

Case Details

VAERS ID: 433455 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Michigan  
Vaccinated:2011-01-11
Onset:2011-01-21
   Days after vaccination:10
Submitted: 2011-09-07
   Days after onset:228
Entered: 2011-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0786Z / 3 LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain upper, Blood glucose increased, Glycosylated haemoglobin, Malaise, Skin discolouration, Slow response to stimuli, Type 1 diabetes mellitus
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: DIABETES~HPV (Gardasil)~3~12.00~Patient
Other Medications: SHE WAS PERFECTLY NORMAL UNTIL THESE SHOTS, THEN SOMETHING HAPPENED THE SAME DAY AS HER LAST INJECTION THAT CHANGED MY LITTLE GIRLS LIFE FOREVER, SHE WILL ALWAYS BE A DIABETIC NOW
Current Illness: NONE PERFECT HEALTH
Preexisting Conditions: NONE PERFECT HEALTH
Allergies:
Diagnostic Lab Data: A1C, DIABETIC TYPE 1
CDC Split Type:

Write-up: SINCE THE DAY OF HER SHOT SHE STARTED HAVING STOMACH PAIN, NOT FEELING WELL, I THOUGHT SHE HAD THE FLU, ON THE 21ST, HOWEVER, SHE WAS TURNING GRAY, COULD BARELY RESPOND SO I TOOK HER TO THE ER, WHERE THEY SAID SHE HAD A GLUCOSE OF OVER 800 AND WAS CLOSE TO A DIABETIC COMA, SHE NOW HAS TYPE 1 DIABETES, 4 FINGER POKES AND 4 SHOTS EVERYDAY


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