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This is VAERS ID 449312

Case Details

VAERS ID: 449312 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2011-07-11
Onset:2011-07-13
   Days after vaccination:2
Submitted: 2012-02-08
   Days after onset:210
Entered: 2012-02-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0306AA / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Addison's disease, Anti-thyroid antibody positive, Blood corticotrophin increased, Blood cortisol decreased, Blood thyroid stimulating hormone decreased, Diarrhoea, Nausea, Thyroiditis, Vomiting, Weight decreased
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypothyroidism (broad), Hyperthyroidism (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 16 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Scoliosis
Allergies:
Diagnostic Lab Data: ACTH 1724; Cortisol level - 1; TSH 0.11; TPA 124
CDC Split Type:

Write-up: Patient received her first GARDASIL on 7-11-11. Two days later developed nausea, vomiting, diarrhea and abdominal pain. Symptoms continued over summer, fall & into winter. Weight loss of 26 pounds. Extensive evaluation non-diagnostic. Hospitalized for this & found to have Addison''s disease and thyroiditis.


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