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This is VAERS ID 582790

Case Details

VAERS ID: 582790 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2015-06-17
   Days after onset:120
Entered: 2015-06-23
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K008931 / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthritis, Blood chloride abnormal, Blood creatinine abnormal, Double stranded DNA antibody, Gait disturbance, Glomerular filtration rate, Inflammation, Inflammatory marker test, Migraine, Mobility decreased, Renal impairment, Systemic lupus erythematosus
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Peripheral neuropathy (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Chronic kidney disease (broad), Arthritis (narrow), Tumour lysis syndrome (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prednisone; PLAQUENIL; Lansoprazole; vitamin; calcium
Current Illness:
Preexisting Conditions: My daughter had no medical issues and was very healthy until this injection and recent Lupus diagnosis. Allergies: none.
Diagnostic Lab Data: My daughter has had multiple labs and has shown irregularities in inflammatory levels, ANA, double stranded DNA, etc. Her SCr and CrCl/GFR were altered. She was referred to a Nephrologist. All labs were taken between March 2015 to current.
CDC Split Type:

Write-up: My daughter had a single injection of GARDASIL on 2/16/15. Within one month she developed severe arthritis and had increased ANA, inflammatory blood readings, etc. She was RA negative. She started having issues walking and with mobility. She had a migraine. She was hospitalized for 4 days in late March and was diagnosed with SLE. Her kidney function became impaired but is now somewhat improved.

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