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This is VAERS ID 589151

Case Details

VAERS ID: 589151 (history)  
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 / 0 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
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~2~0.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions:
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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