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This is VAERS ID 557271

Case Details

VAERS ID: 557271 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Male  
Location: Kentucky  
   Days after vaccination:49
Submitted: 2014-12-02
   Days after onset:215
Entered: 2014-12-08
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J009243 / 3 LA / UN

Administered by: Public       Purchased by: Other
Symptoms: Activities of daily living impaired, Antinuclear antibody positive, Blood pressure abnormal, Blood test abnormal, Fatigue, Heart rate increased, Immune system disorder, Liver function test abnormal, Malaise, Pain, Postural orthostatic tachycardia syndrome
SMQs:, Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Hypertension (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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? Yes, 7 days
   Extended hospital stay? No
Previous Vaccinations: ~Vaccine not specified (no brand name)~UN~15.00~Sibling
Other Medications:
Current Illness: Allergies to mold
Preexisting Conditions: Was in good health except allergic to mold
Diagnostic Lab Data: POTS; chronic fatigue; blood work keeps coming back bad liver and ANA inflam
CDC Split Type:

Write-up: My child''s immune system became weak after the last vaccine got sick easy developed high heart rate BP problems pain chronic fatigue. Was diagnosed with POTS and chronic fatigue. Was unable to attend school doing home school. Seeing 5 specialists.

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