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This is VAERS ID 546267

Case Details

VAERS ID: 546267 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:0
Submitted: 2014-10-02
   Days after onset:3015
Entered: 2014-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Other
Symptoms: Abdominal pain upper, Appendicectomy, Attention deficit/hyperactivity disorder, Bladder scan, Cognitive disorder, Computerised tomogram, Cystitis interstitial, Emotional disorder, Food intolerance, Gastrointestinal disorder, Gastrooesophageal reflux disease, Headache, Hyperacusis, Hypotension, Laboratory test, Menstrual disorder, Mental impairment, Migraine, Nuclear magnetic resonance imaging, Ovarian cyst, Parosmia, Photophobia, Sleep disorder, Ultrasound scan
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Hearing impairment (narrow), Dehydration (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: Dizziness, felt like she was going to faint.
Preexisting Conditions: None
Diagnostic Lab Data: MRIs; CT scans; ultrasound; lab work; bladder testing.
CDC Split Type:

Write-up: Headaches/migraines; appendectomy; ovarian cyst; low blood pressure; stomach pain; reflux; interstitial cystitis; cognitive issues; attention deficit; light sensitivity; noise sensitivities; food intolerances; mental/emotional issues; changes in menstrual cycles; sensitivity to odors; intolerance to citric acid; gastrointestinal issues; sleep disruption.

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