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This is VAERS ID 538314

Case Details

VAERS ID: 538314 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Male  
Location: New York  
Vaccinated:2014-02-22
Onset:2014-03-02
   Days after vaccination:8
Submitted: 2014-07-31
   Days after onset:150
Entered: 2014-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020901 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Colonoscopy abnormal, Cytogenetic analysis normal, Drug metabolising enzyme test abnormal, Gastrointestinal inflammation, Haematochezia, Hepatic enzyme increased, Rectal haemorrhage
SMQs:, Liver related investigations, signs and symptoms (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific inflammation (broad), Ischaemic colitis (broad), Noninfectious diarrhoea (broad), 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: Nasonex
Current Illness: None
Preexisting Conditions: Seasonal allergies; penicillin allergy
Allergies:
Diagnostic Lab Data: Colonoscopy showed "Crohn''s-like" inflammation in large intestine (source of the bleeding). Genetic blood work at lab in showed no genetic predisposition to Crohn''s disease
CDC Split Type:

Write-up: Bloody stool and rectal bleeding during every bowel movement every day starting a week after administration of the Gardasil vaccine. ER visit 3/15/2014. Colonoscopy 3/27/2014. Medications: Apriso (5 months) no treatment results. Prednisone (7 weeks) no treatment results. Mercaptopurine (2 months) elevated liver enzymes & not metabolizing drug effectively. Mercaptopurine combined with Allopurinol (2 weeks) no treatment results.


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