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This is VAERS ID 498916

Case Details

VAERS ID: 498916 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:3
Submitted: 2013-08-09
   Days after onset:160
Entered: 2013-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020910 / 3 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Biopsy skin, Dermatomyositis, Laboratory test, Lethargy, Myalgia, Nuclear magnetic resonance imaging, Oedema peripheral, Skin discolouration, Vasculitic rash
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Vasculitis (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Labs, MRI, Punch biopsy of rash on her left hand
CDC Split Type:

Write-up: Patient developed a vascular rash on hands and elbows, lethargy, aching leg muscles and back muscles as well as edema in her hands bilaterally with hand developing a purple hue. Diagnosed with a rare autoimmune disease Juvenile Dermatomyositis. No cure, hope for a lasting remission, in 1979 3yr survival rate. Seen at hospital, rheumatologist caring for her.

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