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This is VAERS ID 590336

Case Details

VAERS ID: 590336 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2013-06-25
Onset:2015-06-09
   Days after vaccination:714
Submitted: 2015-08-17
   Days after onset:69
Entered: 2015-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / 3 LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Dizziness, Electrocardiogram, Electroencephalogram, Moaning, Tachycardia, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Dehydration (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth Control Tripreverin
Current Illness: None
Preexisting Conditions: Yes. She was diagnosed with amplified pain syndrome in March of 2013. Pains in legs, foggy feeling, weakness. June 2016 Diagnosed with POTS.
Allergies:
Diagnostic Lab Data: EEG in hospital; EKG
CDC Split Type:

Write-up: Light headed, moaning weakness, trembling, tachycardia.


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