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This is VAERS ID 499046

(NOTE: This result is from the 9/17/2013 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, Androgenetic alopecia, Back pain, Biopsy, Biopsy skin abnormal, Blood test, Dizziness, Nausea, Ultrasound abdomen
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Skin tumours of unspecified malignancy (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 The following information was obtained through follow-up and/or provided by the government. 8/26/13 Diaper rash, seizures. Seborrheic dermatitis.
Allergies:
Diagnostic Lab Data: Blood Labs, abdominal ultrasound, scalp biopsy The following information was obtained through follow-up and/or provided by the government. 8/26/13 Labs and Diagnostics: Punch Biopsy Skin - Abnormal.
CDC Split Type:

Write-up: Hair loss, stomach pains, back pains, nausea, dizziness. The following information was obtained through follow-up and/or provided by the government. 8/26/13 PCP Medical records received. Service dates 8/21/96 to 12/12/12. Diagnosis: Androgenic Alopecia. Parent relates start of hear loss to same time as 2nd HPV vaccine. Referral to dermatologist.


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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20130917&IDNUMBER=499046


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