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This is VAERS ID 620624

Case Details

VAERS ID: 620624 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Ohio  
Vaccinated:2015-09-08
Onset:2015-09-11
   Days after vaccination:3
Submitted: 2016-01-25
   Days after onset:136
Entered: 2016-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. L019236 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5053AC / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5030AA / 1 LA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Activities of daily living impaired, Arthralgia, Blood test, Computerised tomogram head, Crying, Dizziness, Dyspnoea, Dysstasia, Echocardiogram, Electrocardiogram, Electroencephalogram, Fatigue, Gastric disorder, Headache, Heart rate increased, Mental impairment, Myalgia, Nuclear magnetic resonance imaging brain, Nuclear magnetic resonance imaging spinal, Postural orthostatic tachycardia syndrome, Sweat test, Tilt table test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Vitamins
Current Illness: No know illness at the time of vaccine.
Preexisting Conditions: No medical conditions existed. Healthy and athletic.
Allergies:
Diagnostic Lab Data: MRI of the Brain and Spine, Echo and EKG on her heart. CAT scan of head. EEG and sweat test with Blood work and a Tilt Table Test to confirm POTS syndrome.
CDC Split Type:

Write-up: Her symptoms began with dizziness in the morning. The following week she developed an ongoing headache with extreme fatigue. I took her back and forth to the doctor told she needed more sleep and water. Her next symptom was shortness of breath and fast heart rate with increased headache. We were sent to a cardiologist who then sent us to a neurologist. After ER visits, rheumatology, endocrinology, and two more neurologist we still had no help for my daughter who cannot think anymore her muscle and joint pain is crippling and her head hurts so bad she cannot open her eyes. The symptoms just keep coming we are not faced with gastric issues adding to her pain. We received a POTS diagnosis from two neurologists. My daughter cannot play, read, think, stand up, take a shower. She just lays and cries all day every day. My straight A student is now a shell of who she used to be. In pain and not able to care for her basic needs.


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