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This is VAERS ID 592097

Case Details

VAERS ID: 592097 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Maryland  
Vaccinated:2010-03-31
Onset:2010-05-10
   Days after vaccination:40
Submitted: 2015-08-31
   Days after onset:1939
Entered: 2015-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1013Y / 2 LA / IM

Administered by: Unknown       Purchased by: Other
Symptoms: Arthralgia, Back pain, Cyanosis, Deafness, Dizziness, Dysmenorrhoea, Dyspnoea, Ear pain, Endoscopy, Fatigue, Gastric emptying study, Headache, Hyperacusis, Impaired gastric emptying, Lymphadenopathy, Menorrhagia, Menstruation irregular, Musculoskeletal chest pain, Myalgia, Nausea, Oropharyngeal pain, Pain in extremity, Peripheral coldness, Petechiae, Photophobia, Rash, Respiratory tract congestion
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal obstruction (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific dysfunction (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad), Fertility disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Other Medications:
Current Illness: Congestion, sore throat, ear pain
Preexisting Conditions: no pre-existing condition; lactose intolerant
Allergies:
Diagnostic Lab Data: ENDOSCOPY, GASTRIC EMPTYING STUDY, CLINICAL DIAGNOSIS
CDC Split Type:

Write-up: SOB,BACK/RIB/LEG/JOINT/MUSCLE PAIN, NAUSEA, DIZZINESS, RASHES, HEADACHES, LIGHT/SOUND SENSITIVITY, GASTROPARESIS, PETECHIA RASH, HEAVY PAINFUL IRREGULAR MENSTRUAL CYCLES, LYMPHENDOPATHY, COLD PURPLE FEET, CHRONIC CONGESTION, CHRONIC SORE THROATS, CHRONIC EAR PAIN, HEARING LOSS, CHRONIC FATIGUE,


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