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This is VAERS ID 458894

Case Details

VAERS ID: 458894 (history)  
Age: 13.0  
Gender: Female  
Location: Indiana  
Vaccinated:2011-09-28
Onset:2011-10-08
   Days after vaccination:10
Submitted: 2012-04-23
   Days after onset:198
Entered: 2012-07-10
   Days after submission:78
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 501105P / 1 - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0636AA / 2 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Abdominal pain upper, Back pain, Blindness, Blood culture, Blood test, Computerised tomogram, Lumbar puncture, Mobility decreased, Musculoskeletal stiffness, Nuclear magnetic resonance imaging, Pyrexia, Skin lesion
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Retinal disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, 19 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: CT scans; Multiple MRI''s; Spinal tap; Blood draws & cultures
CDC Split Type:

Write-up: Patient had symptoms start within two weeks of her shots. I took her to the ER & they sent her home symptoms grew worse and more presented so she was sent to hospital. Fever, lesions, back pain, stomach pain, stiff neck, loss of vision & use of legs.


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