National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 639719

Case Details

VAERS ID: 639719 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: New York  
Vaccinated:2007-10-10
Onset:2009-12-01
   Days after vaccination:783
Submitted: 2016-06-16
   Days after onset:2388
Entered: 2016-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0515U / 1 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal discomfort, Alopecia, Amnesia, Anaemia, Antinuclear antibody, Autoimmune disorder, Fatigue, Full blood count, Headache, Mobility decreased, Muscular weakness, Oedema, Plasmapheresis, Scleroderma, Skin discolouration, Swelling face, Throat tightness, Thrombotic thrombocytopenic purpura, Vertigo, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Haematopoietic erythropenia (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, arterial (narrow), Parkinson-like events (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Renovascular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 43 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: EXTREME FATIGUE, CONSTANT HEADACHES, AUTO IMMUNE DISEASES STARTING. STARTED BEING WORKED UP FOR LUPUS. CAME DOWN WITH A DANGEROUS CASE OF TTP AND NOW DEALING WITH A VERY SERIOUS CASE SCLERODERMA BECAUSE OF IT. NEVER HAD ANY OF THESE ISSUES BEFORE EVER.
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA PANEL, CBC, ALL CAN BE PROVIDED.
CDC Split Type:

Write-up: HEADACHES, SEVERE FATIGUE, SKIN DISCOLORATION, MUSCLE WEAKNESS, SEVERE ANEMIA, FACE PUFFINESS, EDEMA, VERTIGO, HAIR LOSS, VISION CHANGES, MEMORY LOSS, SEVERE MOBILITY ISSUES, STOMACH DISCOMFORT, ESOPHAGUS TIGHTENING. GONE THROUGH IMMUNOSUPPRESSANTS, CELLCEPT, PLAQUENIL, RITUXAN TWICE, PLASMAPHERESIS EVER SINCE.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=639719


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166