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This is VAERS ID 675728

Case Details

VAERS ID: 675728 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Foreign  
Vaccinated:2009-05-12
Onset:2009-10-01
   Days after vaccination:142
Submitted: 2016-12-30
   Days after onset:2647
Entered: 2016-12-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1941U / 3 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chronic fatigue syndrome, Postural orthostatic tachycardia syndrome
SMQs:

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: diclofenac
Current Illness: Endometriosis; Human papillomavirus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DK0095075131612DNK012920

Write-up: ADVERSE REACTION: Postural orthostatic tachycardia syndrome (POTS), chronic fatigue syndrome. THE COURSE REGARDING THE ADVERSE REACTION: Last GARDASIL administrated on 12-MAY-2009, during the autumn of 2009 increasing symptoms. OTHER VACCINES: No. Criteria for the diagnosing of POTS: 1) Heart rate increases greater than or equal to 30 bpm from supine to standing (10 min) in the absence of orthostatic hypotension (decrease in BP greater than 20/10 mmHg). 2) Symptoms worsen with standing and improved with recumbence. 3) Symptoms last greater than or equal to 6 months. 4) Absence of other overt cause of orthostatic symptoms or tachycardia (e.g., active bleeding, acute dehydration, medications). In addition Hospital /(where the patient is followed) uses further a criterion for patients between 12-19 years: Requires a pulse increase greater than 40 bpm to make the diagnosis, with the justification, that young people have a stronger physiological pulse response to standing up. They use this additional criterion to avoid false positive.


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