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This is VAERS ID 536399

Case Details

VAERS ID: 536399 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Male  
Location: Massachusetts  
   Days after vaccination:2
Submitted: 2014-07-11
   Days after onset:2
Entered: 2014-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020901 / 2 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Blindness unilateral, Echocardiogram abnormal, Ophthalmological examination abnormal, Pupil dilation procedure, Pupillary reflex impaired, Retinal artery thrombosis
SMQs:, Embolic and thrombotic events, arterial (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (narrow)

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, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Fluoxetine and Risperidone
Current Illness: Major Depression
Preexisting Conditions: None
Diagnostic Lab Data: Patient was diagnosed with occlusion/thrombosis of retinal artery. He has been evaluated for stroke/hypercoaguability. Results are pending. Cardiac echo revealed minimal right to left shunting making thromboembolic event possible etiology.
CDC Split Type:

Write-up: Patient presented to the Emergency Room with acute onset of unilateral vision loss. Exam notable for absent pupillary reflex. Was transferred to an eye specialist. Dilated eye exam was suspicious for thrombosis of retinal artery.

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