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This is VAERS ID 644710

Case Details

VAERS ID: 644710 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Florida  
Vaccinated:2013-07-25
Onset:2013-08-13
   Days after vaccination:19
Submitted: 2016-07-22
   Days after onset:1074
Entered: 2016-07-26
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021608 / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood test, Headache, Multiple sclerosis, Nuclear magnetic resonance imaging, Ophthalmological examination, Vision blurred
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Demyelination (narrow), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (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? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: 5 MRI''s; Blood testing; eye examinations.
CDC Split Type:

Write-up: Blurry vision and headaches approximately two weeks after GARDASIL injection. Now diagnosed with MS.


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