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This is VAERS ID 456563

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 456563 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2012-05-30
Entered: 2012-05-31
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Adverse event, Blood mercury abnormal, Life support
SMQs:, Acute central respiratory depression (broad), Respiratory failure (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Serum mercury test, extremely high levels of mercury in her blood stream
CDC Split Type: WAES1205USA04900

Write-up: Information has been received from a pharmacist concerning a female patient who on an unspecified date was vaccinated with a dose of GARDASIL (site, dose and lot# not reported). No other vaccines were administered on the same date. It was reported that the pharmacist heard about this adverse experienced from a mom of a patient who was vaccinated with GARDASIL. She said the mom told her that after her daughter got vaccinated at a physician''s office, the daughter had a serious adverse event and ended up in the hospital on life support. They were treating her for extremely high levels of mercury in her blood stream. This happened right after she received the GARDASIL vaccine. Extremely high levels of mercury in her blood stream were considered to be significant disability and life threatening by the reporter. Additional information has been requested.

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