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This is VAERS ID 559133

Case Details

VAERS ID: 559133 (history)  
Age: 13.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2012-06-26
Onset:2012-07-08
   Days after vaccination:12
Submitted: 2014-12-21
   Days after onset:896
Entered: 2014-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB591AA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1745AA / 0 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Depression, Joint crepitation, Muscular weakness, Nervous system disorder
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Multi vitamin
Current Illness: No
Preexisting Conditions: No, she did faint with 2nd & 3rd doses
Diagnostic Lab Data:
CDC Split Type:

Write-up: Muscle weakness, and nerve issues. Lost all use of muscles holding in joints. Joints started to pop. Depression started.


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