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This is VAERS ID 557279

Case Details

VAERS ID: 557279 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Male  
Location: Kentucky  
   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 / 3 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), 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, 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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