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This is VAERS ID 446822

Case Details

VAERS ID: 446822 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Georgia  
Vaccinated:2011-03-08
Onset:2011-03-15
   Days after vaccination:7
Submitted: 2012-01-04
   Days after onset:295
Entered: 2012-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. MSD1778Y / 3 RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Cognitive disorder, Hallucination, auditory, Hallucination, visual
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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? Yes, 14 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient began to have auditory hallucinations. It has since advanced to both visual and auditory hallucinations. Her congitive ability has severaly decreased.


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