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From the 11/26/2021 release of VAERS data:

This is VAERS ID 534568

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Case Details

VAERS ID: 534568 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2014-03-20
Onset:2014-04-28
   Days after vaccination:39
Submitted: 2014-06-21
   Days after onset:54
Entered: 2014-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS PH43F / 3 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blindness unilateral, Eye pain, Headache, Lumbar puncture, Nuclear magnetic resonance imaging, Optic neuritis
SMQs:, Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Retinal disorders (broad), Ocular infections (broad), Immune-mediated/autoimmune 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? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: MRI, Lumbar Puncture
CDC Split Type:

Write-up: Patient began severe headache with rght eye pain which lasted for three weeks and was misdiagnosed as a sinus infection and migraine. Patient lost complete vision in right eye and was diagnosed with optic neuritis on 5/21/2014 and hospitalized.


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