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This is VAERS ID 657481

Case Details

VAERS ID: 657481 (history)  
Age: 14.0  
Gender: Female  
Location: Texas  
Vaccinated:2014-02-26
Onset:2014-06-12
   Days after vaccination:106
Submitted: 2016-10-05
   Days after onset:846
Entered: 2016-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010668 / 0 RA / UN

Administered by: Unknown       Purchased by: Private
Symptoms: Postural orthostatic tachycardia syndrome, Tilt table test
SMQs:

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Tilt Table Test performed at Clinic
CDC Split Type:

Write-up: Postural Orthostatic Tachycardia Syndrome.


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