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This is VAERS ID 589152

Case Details

VAERS ID: 589152 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Florida  
Vaccinated:2014-01-23
Onset:2014-01-23
   Days after vaccination:0
Submitted: 2015-08-08
   Days after onset:561
Entered: 2015-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J012212 / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Amnesia, Anxiety, Aphasia, Autonomic nervous system imbalance, Dizziness, Fatigue, Feeling abnormal, Feeling of body temperature change, Headache, Hyperacusis, Hypoaesthesia, Impaired gastric emptying, Injection site pain, Loss of consciousness, Muscle twitching, Nausea, Nervous system disorder, Paralysis, Partial seizures, Photophobia, Postural orthostatic tachycardia syndrome, Seizure, Sleep disorder, Syncope, Tremor
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Gastrointestinal obstruction (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific dysfunction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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? No
Previous Vaccinations: Head Ache, dizzy, fatigue, sleep paralasis~HPV (Gardasil)~1~13.08~Patient
Other Medications: No prescriptions
Current Illness: No illnesses
Preexisting Conditions: No pre-existing
Allergies:
Diagnostic Lab Data: Dysautonomia POTS postural orthostatic tachycardia, neurocardiogenic syncope, temperol lobe problems, autonomic and sympathetic nervous system problems, focal seizures, severe sleep disturbance, anxiety, severe head aches, severe sensitivity to lights and sounds, leg numbness, gastroparesis, chronic fatigue, brain fog, loss of words/memory in discussions.
CDC Split Type:

Write-up: Pain at injection site, head ache, nausea, fatigue, dizzy, black outs, hot/cold, muscle twitching, leg and feet numbness, wakes up paralyzed and trembling with seizures and unable to call for help.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=589152


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