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This is VAERS ID 656460

Case Details

VAERS ID: 656460 (history)  
Form: Version 1.0  
Gender: Male  
Location: Unknown  
Submitted: 2016-09-28
Entered: 2016-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Dyspnoea, Headache, Loss of consciousness, Mobility decreased, Pain, Seizure, Throat tightness
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Angioedema (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1609USA012094

Write-up: This spontaneous report was received from a registered nurse who was notified by a field representative of a page referring to a male patient of unknown age. The patient''s concurrent conditions or concomitant medications were not reported. It was reported that the patient was an active and healthy child. On an unspecified date, the patient got vaccinated with GARDASIL (dose number, dose, frequency, anatomical location, lot number and expiration date were not reported). It was reported that since receiving the vaccine, on an unspecified date, the patient could not go to school or play sports, some days he struggled to just get out of bed and that his life had changed. It was also reported that on a good day he has 5 seizures a day and that on a bad day he can have up to 30. He was in constant pain and had severe headaches. He also had issues where his throat closes up and he passes out because he could not breathe. His regular doctors and the hospital said they could not help the patient or did not know how to treat his vaccine injury. Therefore, the parents were seeking for homeopathic treatment. They did not have choice and felt that it was on the patient''s best interest. However, that route was extremely expensive. The patient was from a one income family and had 4 siblings. He can not be left alone, and they have had to completely change his diet which causes the grocery bill to double, and they were beginning to receive the mounds of bills from his doctor and hospital visits. The outcome of the events was unknown. Upon internal review, can''t go to school or play sports, struggles to just get out of bed. Live for his active child has changed was considered to be disabling and loss of consciousness and Seizures were considered to be medically significant events. Additional information is not expected as the reporter did not give consent for follow up.

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