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This is VAERS ID 511730

Case Details

VAERS ID: 511730 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Texas  
Vaccinated:2012-07-17
Onset:2012-07-23
   Days after vaccination:6
Submitted: 2013-11-06
   Days after onset:471
Entered: 2013-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1745AA / 3 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Autonomic nervous system imbalance, Myalgia, Radical neck dissection, Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: She had 3 HPV shots (7/29/2010, 1/11/2011, 7/17/2012) each time afterwards had muscle pain, joint pain, was diagnosed with RND one year afterwards, later retracted, diagnosed with dysautonomia 08/10/2013 and is now confined to wheelchair.


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