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This is VAERS ID 589151

Case Details

VAERS ID: 589151 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Indiana  
Vaccinated:2013-07-30
Onset:2013-08-12
   Days after vaccination:13
Submitted: 2015-08-08
   Days after onset:726
Entered: 2015-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H020848 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Attention deficit/hyperactivity disorder, Blood glucose increased, Depression, Diabetes mellitus, Disturbance in attention, Juvenile myoclonic epilepsy, Memory impairment, Premenstrual dysphoric disorder, Sleep apnoea syndrome, Tic, Type 2 diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow), Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Acute central respiratory depression (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~2~0.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Blood sugar 436, admitted into hospital 8/12/13, Diabetes, after release started noticing eye tics, depression, forgetfulness, hard time focusing and has since been diagnosed Type 2 diabetes, Juvenile Myoclonic Epilepsy, ADHD, Premenstrual Dysphoric Disorder, Sleep Apnea, and depression.


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