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This is VAERS ID 536399

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2014

VAERS ID: 536399
Age:15.0
Gender:Male
Location:Massachusetts
Vaccinated:2014-07-07
Onset:2014-07-09
Submitted:2014-07-11
Entered:2014-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020901 / 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Blindness unilateral, Pupillary reflex impaired, Retinal artery thrombosis, Ophthalmological examination abnormal, Echocardiogram abnormal, Pupil dilation procedure

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 2     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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