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This is VAERS ID 495451

Case Details

VAERS ID: 495451 (history)  
Age: 13.0  
Gender: Female  
Location: Georgia  
Vaccinated:2011-07-28
Onset:2013-01-01
   Days after vaccination:523
Submitted: 2013-06-28
   Days after onset:177
Entered: 2013-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1271Z / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Autoimmune disorder, Central nervous system inflammation, Headache, Nausea, Neuralgia, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Head pain, constant nausea, cycle vomiting, nerve pain, neurological inflammation, autoimmune started.


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