National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 610098

Case Details

VAERS ID: 610098 (history)  
Age: 16.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2010-12-03
Onset:2010-12-06
   Days after vaccination:3
Submitted: 2015-11-17
   Days after onset:1807
Entered: 2015-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3728AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1539Y / 0 RA / IM

Administered by: Public       Purchased by: Private
Symptoms: Autonomic nervous system imbalance, Chronic fatigue syndrome, Colitis ulcerative, Colonoscopy abnormal, Dizziness, Injection site mass, Loss of consciousness, Mass excision, Orthostatic hypotension, Palpitations, Soft tissue sarcoma, Tilt table test positive
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal ulceration (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific inflammation (broad), Ischaemic colitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad), Non-haematological malignant tumours (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: N/a
Diagnostic Lab Data: Tilt table test---$gDiagnosed with Postural Hypotension Dysautonomia (4/8/11); Chronic Fatigue Syndrome; Colonoscopy---$g (08/2014) Diagnosed with Ulcerative Colitis; Surgery to remove mass where I received the HPV vaccine---$g (09/23/2015) Diagnosed with Soft Tissue Sarcoma Cancer
CDC Split Type:

Write-up: Dizziness, passing out, heart palpitations. No treatment, I was told this was normal for girls my age. Was never told it could be from the HPV vaccine.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=610098


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166