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This is VAERS ID 495614

Case Details

VAERS ID: 495614 (history)  
Age: 13.0  
Gender: Female  
Location: Ohio  
Vaccinated:2010-08-03
Onset:2011-04-01
   Days after vaccination:241
Submitted: 2013-06-27
   Days after onset:818
Entered: 2013-07-01
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Acne, Arthralgia, Back pain, Barium swallow, Blood test, Cardiovascular disorder, Chest pain, Computerised tomogram, Decreased appetite, Depression, Endoscopy upper gastrointestinal tract, Fatigue, Hair colour changes, Melanocytic naevus, Memory impairment, Musculoskeletal chest pain, Pain in extremity, Panic attack, Raynaud's phenomenon, Skin ulcer, Stomach scan, Weight decreased, X-ray, X-ray with contrast upper gastrointestinal tract
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? Yes
Previous Vaccinations: Joint pain.~HPV (no brand name)~2~13.00~Patient|Autoimmune headaches.~HPV (no brand name)~3~14.00~Sibling
Other Medications: None
Current Illness: None
Preexisting Conditions: None - Perfectly healthy before HPV
Diagnostic Lab Data: X-rays; C-scan; Upper GI; Stomach scope; ER visits (3); blood work; Barium swallow; Physical therapy; Week in the hospital; Acne on back; White spots around moles
CDC Split Type:

Write-up: Memory problems, joint pain, rib and chest pain, ulcers on fingers, bad circulation, Raynaud''s, back and leg pain, extreme tiredness, loss of appetite, weight loss, strands of grey hair, panic attack, depression - more symptoms continued to pop-up - nothing has been cured.


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