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This is VAERS ID 499046

(NOTE: This result is from the 8/12/2013 version of the VAERS database)

Case Details

VAERS ID: 499046 (history)  
Form: Version .0  
Age: 16.0  
Gender: Female  
Location: California  
Vaccinated:2012-04-01
Onset:2012-05-01
   Days after vaccination:30
Submitted: 2013-08-11
   Days after onset:467
Entered: 2013-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain upper, Alopecia, Back pain, Biopsy, Blood test, Dizziness, Nausea, Ultrasound abdomen
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NO
Preexisting Conditions: NO
Allergies:
Diagnostic Lab Data: Blood Labs, abdominal ultrasound, scalp biopsy
CDC Split Type:

Write-up: Hair loss, stomach pains, back pains, nausea, dizziness.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20130812&IDNUMBER=499046


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