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This is VAERS ID 574138

Case Details

VAERS ID: 574138 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Male  
Location: California  
   Days after vaccination:36
Submitted: 2015-04-16
   Days after onset:245
Entered: 2015-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J011272 / 2 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Abasia, Activities of daily living impaired, Blood test, Complex regional pain syndrome, Epstein-Barr virus test, Fatigue, Infectious mononucleosis, Migraine, Nuclear magnetic resonance imaging, Pain in extremity
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (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: Incredible pain~HPV (Gardasil)~1~14.33~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Chronic Rhinitis
Diagnostic Lab Data: This was the 2nd Gardasil shot. MRI, Blood test EBV
CDC Split Type:

Write-up: Chronic Regional Pain Syndrome - Intense pain in foot could not walk until January 2015. Multiday migraines, chronic fatigue, mononucleosis continuing. My healthy, athletic son can barely function any more.

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