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This is VAERS ID 495629

Case Details

VAERS ID: 495629 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Hawaii  
Vaccinated:2010-10-24
Onset:2010-10-24
   Days after vaccination:0
Submitted: 2013-07-02
   Days after onset:982
Entered: 2013-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0072X / 1 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Blood test, Dizziness postural, Fatigue, Feeling abnormal, Headache, Nuclear magnetic resonance imaging, Paraesthesia, Tilt table test
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad)

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: See symptoms~ ()~~14.67~Patient
Other Medications: NONE
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRIs, Numerous Blood Tests, Tilt Table Test
CDC Split Type:

Write-up: Symptoms: Tingling in hands and feet while standing; Dizziness while standing; Fatigue; Frequent headaches; Panic attack feelings without the panic.


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