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This is VAERS ID 646650

Case Details

VAERS ID: 646650 (history)  
Age: 11.0  
Gender: Female  
Location: Colorado  
Vaccinated:2015-04-21
Onset:2015-04-23
   Days after vaccination:2
Submitted: 2016-08-05
   Days after onset:470
Entered: 2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K008931 / 0 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5049AA / 0 LA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4774AA / 0 LA / UN

Administered by: Private       Purchased by: Other
Symptoms: Blood test, Chronic fatigue syndrome, Eye pain, Feeling abnormal, Hypersomnia, Lyme disease, Menstrual disorder, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Diagnostic Lab Data: Had many blood test done and other test to figure out what was/is wrong with her.
CDC Split Type:

Write-up: Sleeps 18-20 hours a day, sharp pains in eyes, muscles hurt, brain fog, period issues and 2 strains of Lyme disease. Trying to treat Lyme but had many test and has Chronic Fatigue Syndrome.


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