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This is VAERS ID 525658

Case Details

VAERS ID: 525658 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2013-03-15
Onset:2013-03-25
   Days after vaccination:10
Submitted: 2014-03-13
   Days after onset:353
Entered: 2014-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 RA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Autoimmune disorder, Capillary fragility, Dermatomyositis, Laboratory test, Muscle atrophy, Muscular weakness, Nuclear magnetic resonance imaging, Vaccination complication, Von Willebrand's disease
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Congenital, familial and genetic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)

Life Threatening? Yes
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: Three Gardasil HPV vaccine logged by pediatrician I am nab To obtain lot numbers from provider.
Current Illness: Within 2 weeks of third HPV vaccine patient developed juvenile dermatomyositis. She has been treated for one yr at a hospital. She has a chronic autoimmune disease due to the HPV vaccine and the doctor reports increase in autoimmune diseases in girls who have had this vaccine.
Preexisting Conditions: None, healthy child up until this time.
Allergies:
Diagnostic Lab Data: Labs, MRI, clinical exams, capillary exams
CDC Split Type:

Write-up: Within 2weeks major dev of juvenile dermatomyositis with muscle wasting and weakness. Developed Von Willebrand''s disease. Among other symptoms of a autoimmune crisis.


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