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This is VAERS ID 590336

Case Details

VAERS ID: 590336 (history)  
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 / 2 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)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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.
Diagnostic Lab Data: EEG in hospital; EKG
CDC Split Type:

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


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