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This is VAERS ID 286564

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 286564 (history)  
Form: Version .0  
Age: 11.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-07-05
Onset:2007-07-13
   Days after vaccination:8
Submitted: 2007-08-02
   Days after onset:20
Entered: 2007-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0535U / 1 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anion gap increased, Asthenia, Blood glucose increased, Blood phosphorus, Blood potassium increased
SMQs:, Lactic acidosis (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Guillain-Barre syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: glucose - 977
CDC Split Type:

Write-up: Came to office 1 week after immunizations were given with New onset Type 1 DM with sugar of 977.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=286564


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