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This is VAERS ID 495451

Case Details

VAERS ID: 495451 (history)  
Form: Version 1.0  
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 / 2 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
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None known
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data:
CDC Split Type:

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


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