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This is VAERS ID 478181

Case Details

VAERS ID: 478181 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: Texas  
Vaccinated:2011-03-22
Onset:2011-03-22
   Days after vaccination:0
Submitted: 2012-12-14
   Days after onset:633
Entered: 2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12712 / 1 RA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / SANOFI PASTEUR C3819AA / UNK LA / IM

Administered by: Unknown       Purchased by: Other
Symptoms: Abdominal pain, Adrenal insufficiency, Amnesia, Dizziness, Gait disturbance, Influenza, Monoplegia, Muscular weakness, Nausea, Vomiting, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Cymbalta
Current Illness: Sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Lightheaded within a few hours of injection. Dizzines, lightheaded, flu symptoms, abdominal pain, nausea, vomiting, weight loss, adrenal insufficiency, memory loss, leg paralysis, difficulty walking, limb weakness.


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