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This is VAERS ID 484683

Case Details

VAERS ID: 484683 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2012-10-10
Onset:2012-11-19
   Days after vaccination:40
Submitted: 2013-02-15
   Days after onset:88
Entered: 2013-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0131AE / 2 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Insulin resistance test, Insulin resistant diabetes, Type 1 diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Type 1 diabetes - insulin resistent
CDC Split Type:

Write-up: Patient was diagnosed with type 1 diabetes.


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