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This is VAERS ID 534934

Case Details

VAERS ID: 534934 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Florida  
Vaccinated:2013-12-06
Onset:2014-01-12
   Days after vaccination:37
Submitted: 2014-06-25
   Days after onset:163
Entered: 2014-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 5B23A / 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J006850 / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood aluminium, Blood test, Nasopharyngitis, Nuclear magnetic resonance imaging, Ophthalmological examination, Posture abnormal, Spinal X-ray, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Dystonia (broad), Hypersensitivity (narrow), 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: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: Blood work, aluminum toxicity blood test, eye exam, neck X-ray, full spine X-ray, MRI
CDC Split Type:

Write-up: Head starting pulling to the left with no control of neck muscles. Cold and later after the second shot on Feb 11 broke out in hives.


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