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This is VAERS ID 455890

Case Details

VAERS ID: 455890 (history)  
Age: 10.0  
Gender: Female  
Location: New York  
Vaccinated:2012-03-09
Onset:2012-05-21
   Days after vaccination:73
Submitted: 2012-05-21
   Days after onset:0
Entered: 2012-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 UN / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Abnormal behaviour, Activities of daily living impaired, Educational problem, Memory impairment
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hashimoto''s thyroiditis
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mother called office states within days of receiving 3rd dose of GARDASIL pt started to have behavior changes ie pt. went from being an honor student to failing all classes, having memory problems. Doesn''t remember to rinse shampoo from hair, puts on socks inside out, drawing on toys etc.


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