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This is VAERS ID 557279

Case Details

VAERS ID: 557279 (history)  
Age: 14.0  
Gender: Male  
Location: Kentucky  
Vaccinated:2014-03-13
Onset:2014-07-01
   Days after vaccination:110
Submitted: 2014-12-02
   Days after onset:154
Entered: 2014-12-08
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J009243 / 2 RA / UN

Administered by: Public       Purchased by: Other
Symptoms: Headache, Malaise, Memory impairment, Muscle twitching, Nerve injury, Postural orthostatic tachycardia syndrome
SMQs:, Dementia (broad), Dyskinesia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Depression (excl suicide and self injury) (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: 13~Vaccine not specified (no brand name)~UN~0.00~Sibling
Other Medications:
Current Illness: Was healthy
Preexisting Conditions: Allergies to mold
Diagnostic Lab Data: POTS; waiting to see neuro
CDC Split Type:

Write-up: Became sick after 3rd HPV GARDASIL vaccine was diagnosed with POTS. Waiting to see neurology has memory problems, muscle and nerve twitching and shocking headaches.


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