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This is VAERS ID 575140

Case Details

VAERS ID: 575140 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Illinois  
Vaccinated:2014-08-12
Onset:2014-08-26
   Days after vaccination:14
Submitted: 2015-04-23
   Days after onset:240
Entered: 2015-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K001631` / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Activities of daily living impaired, Blood test, Computerised tomogram, Crying, Headache, Lumbar puncture, Neurological examination, Ophthalmological examination, Pain, Ultrasound scan, Visual impairment
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (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: Hearing Loss~Diphtheria Toxoid + Pertussis + IPV (no brand name)~UN~0.25~Patient
Other Medications: Fluoxetine 40 mg daily
Current Illness: None
Preexisting Conditions: Patient is profoundly deaf and wears two cochlear implants successfully. She has a history of adolescent depression which is managed with diet, exercise and fluoxetine.
Allergies:
Diagnostic Lab Data: Ophthalmologist exam; ED visit and lumbar puncture; CAT scan; Multiple blood tests; Ultrasound; Exam and treatment by neurologist; Exam and treatment by endocrinologist; Exam and treatment by internist
CDC Split Type:

Write-up: Patient began to experience a high pressure headache and vision disturbances. Over the period of the following weeks, the condition worsened to the point that patient was unable to attend school. Because of patient''s deafness, anything related to her vision is especially concerning. The headaches continued to get worse to the point of her crying in pain.


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