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This is VAERS ID 614683

Case Details

VAERS ID: 614683 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: California  
Vaccinated:2012-08-02
Onset:2012-11-10
   Days after vaccination:100
Submitted: 2015-12-14
   Days after onset:1129
Entered: 2015-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0665L / 1 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Amnesia, Anxiety, Disturbance in attention, Fall, Hypoaesthesia, Injury, Seizure, Stress, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Seizures which are worst before, during or after her menstrual cycle, arms and legs numbness, anxiety, memory loss, no being able to focus and concentrate, can''t deal with any level of stress, just a little of stress causes seizures (her entire body shakes like she is being hit with electricity, when this happen she is dropping things, she falls and she is hurting herself).


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