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This is VAERS ID 560596

Case Details

VAERS ID: 560596 (history)  
Age: 11.0  
Gender: Female  
Location: Nebraska  
Vaccinated:2014-08-21
Onset:2014-09-21
   Days after vaccination:31
Submitted: 2015-01-06
   Days after onset:107
Entered: 2015-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS M7159 / 1 LL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. KOO1500 / 0 RL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4800AC / 0 RL / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9M9AA / 0 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Bronchitis, Candida infection, Convulsion, Dizziness, Ear infection, Electroencephalogram abnormal, Fatigue, Immediate post-injection reaction, Immunoglobulins abnormal, Injection site rash, Migraine, Nasopharyngitis, Nuclear magnetic resonance imaging normal, Pharyngitis, Pneumonia, Rash, Sinusitis, Spinal pain, Vertigo
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Oropharyngeal infections (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Vestibular disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Daily Vitamin; Miralax
Current Illness: No
Preexisting Conditions:
Diagnostic Lab Data: Abnormal EEG; abnormal immunoglobulin; normal MRI
CDC Split Type:

Write-up: Had rash at injection site, little purple dots on both legs, extreme fatigue, migraine headaches, seizures extreme spine pain, hip pain, vertigo, dizziness, extreme exhaustion and a constant case of thrush. The day after the first and only injection she came down with pneumonia, bronchitis, a sinus infection, 2 ear infections, throat infection, a common cold and thrush. This was constant for the first 2-3 months. She had 1 or more symptoms at any given moment after vaccinated. She had never had any of these symptoms EVER before the shot (except for the bronchitis and the cold). All of these symptoms started immediately and slowly got worse and worse. I took her to see her doctor 1-3 times per week for several months.


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