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This is VAERS ID 486419

History of Changes from the VAERS Wayback Machine

First Appeared on 7/7/2013

VAERS ID: 486419
Age:11.0
Gender:Female
Location:Foreign
Vaccinated:2010-12-03
Onset:2010-12-05
Submitted:2013-03-07
Entered:2013-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NJ53440 / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Blood immunoglobulin E increased, Blood immunoglobulin M increased, Diabetes mellitus, Polydipsia, Polyuria, Antibody test, Streptococcus test, Streptococcus test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: On 11-Dec-2010: Antistreptolysin titre, 284 IU; Blood glucose, 583; IgM, 248 IU; IgE 233,9 IU; Antigiladin antibody, IgG 14 IU; Fasting blood glucose 264 mg; Blood immunoglobulin M, 248 IU; 12/11/2010, Streptococcus test, 284 IU
CDC 'Split Type': WAES1303ITA002329

Write-up:Case received from Health Authority (case n. 195155) on 04-MAR-2013 through SPMSD. Case initially reported by a physician. Case medically confirmed. An 11 year old female patient was vaccinated on 03-DEC-10 with the third dose of GARDASIL (batch n. NM06870, lot number NJ53440, expiration date 31-DEC-2011) i.m. On 05-DEC-10 she presented with polydypsia and polyuria. She was admitted to the hospital and diagnosed with diabetes mellitus and treated with insulin. Labwork performed: see lab comments screen. The outcome is not recovered. The case is closed.


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