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This is VAERS ID 460538

Case Details

VAERS ID: 460538 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2012-07-18
   Days after onset:1030
Entered: 2012-07-30
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Cholecystectomy, Decreased appetite, Dyspnoea, Fatigue, Increased tendency to bruise, Migraine, Nausea, Rash, Weight decreased
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Acute central respiratory depression (broad), Gallbladder related disorders (narrow), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Prior to the vaccine she was completely healthy with no medical conditions
Diagnostic Lab Data:
CDC Split Type:

Write-up: -Since 2009 she had been diagnosed with chronic migraines - between 15 to 20 a month. - Loss of appetite from 115lbs to 86 lbs. - Nausea - Rashes. - Bruises easily. -Shortness of breath. - Fatigued easy. - Gallbladder removal. - Joint pain received the regular dosage as prescribed by a doctor in the three time interval.

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