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This is VAERS ID 519290

Case Details

VAERS ID: 519290 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Tennessee  
   Days after vaccination:4
Submitted: 2014-01-14
   Days after onset:814
Entered: 2014-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain upper, Asthenia, Back pain, Biopsy, Blood test, Dizziness, Dyspepsia, Endoscopy gastrointestinal, Fatigue, Headache, Hyperacusis, Hypersomnia, Muscle spasms, Nausea, Pain in extremity, Photophobia, Protein urine present, Vomiting
SMQs:, Acute renal failure (broad), Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms 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:
Other Medications: Birth Control Pills; Birth Control Patch-1 day; Birth Control Shot
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: 2 biopsies; GI scope; many blood tests; urine test-protein in urine
CDC Split Type:

Write-up: Nausea, vomiting, muscle spasms, excruciating headaches, fatigue, sleeping 20 hours per day, back and leg pain, sensitivity to light and sound, weakness, stomach cramps, lightheadedness, digestive issues.

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