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This is VAERS ID 559180

Case Details

VAERS ID: 559180 (history)  
Age: 16.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2012-10-04
Onset:0000-00-00
Submitted: 2014-12-22
Entered: 2014-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 2 UN / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Autoimmune disorder, Blood immunoglobulin G increased, Central nervous system inflammation, Convulsion, Electroencephalogram, Headache, Laboratory test, Nuclear magnetic resonance imaging brain abnormal, Optic neuritis, Visual impairment
SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Ocular infections (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: MRI; EEG; Labs
CDC Split Type:

Write-up: Oct 4 2012 received 3rd GARDASIL and one month later developed headaches, visual changes and seizures along with optic neuritis. MRI showed inflammation in Rt frontoparietal region with elevated IgG levels. Eval by neuro and immunology felt to be autoimmune inflammatory process.


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