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This is VAERS ID 558292

Case Details

VAERS ID: 558292 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: South Carolina  
   Days after vaccination:56
Submitted: 2014-12-16
   Days after onset:502
Entered: 2014-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Blood test, Bone scan, Nerve conduction studies, Nuclear magnetic resonance imaging, Organ failure, Pain, Ultrasound Doppler, Venogram, X-ray
SMQs:, Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (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:
Current Illness: NO
Preexisting Conditions: NO
Diagnostic Lab Data: Nerve Conduction Tests, Blood drawn numerous times, Bone Scan, Vein studies, Doppler scans, x-rays, MRIs
CDC Split Type:

Write-up: Patient began complaining of aches and pains. They were unexplained and no injury found. By the September the pain became too much and her body began to shut down.

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