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This is VAERS ID 658585

Case Details

VAERS ID: 658585 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Male  
Location: California  
Vaccinated:2014-08-13
Onset:2014-08-28
   Days after vaccination:15
Submitted: 2016-09-30
   Days after onset:764
Entered: 2016-10-11
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS 4H9R4 / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J015378 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4610BA / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. J009164 / 2 RA / SC

Administered by: Public       Purchased by: Private
Symptoms: Cataplexy, Crying, Sleep study
SMQs:, Depression (excl suicide and self injury) (broad)

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

Write-up: Patient had a second HPV 9 shot on 8/18/16 and a wk after the second shot is when the cataplexy set in. We were not supposed to have the sleep study until 11/29/16. But I called them crying telling them I could no longer wait.


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