National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/14/2018 release of VAERS data (an older release, current is 4/23/2021):

This is VAERS ID 349667

Case Details

VAERS ID: 349667 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Texas  
   Days after vaccination:154
Submitted: 2009-06-19
   Days after onset:291
Entered: 2009-06-22
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Computerised tomogram head, Computerised tomogram normal, Contusion, Dyspnoea, Fatigue, Hypophagia, Immobile, Immune system disorder, Infectious mononucleosis, Injection site pain, Malaise, Nuclear magnetic resonance imaging normal, Paralysis, Paranasal cyst, Sinusitis, Surgery, Weight decreased
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: None PMH: scoliosis, costochondritis, sinusitis, pahryngitis, back pain, abdominal pain
Diagnostic Lab Data: magnetic resonance, fine; head computed axial, fine; hematology, immune system is compromised. Labs: Spirometry WNL. O2 sat 97% on RA. H. pylori (+). Abd US WNL.
CDC Split Type: WAES0906USA02285

Write-up: Information has been received from a consumer concerning her approximately 17 year old daughter with no medical history or allergies who was vaccinated with three dose of GARDASIL. Concomitant therapy included "LOLESTRA". The consumer reported that after receiving the first and second dose of GARDASIL the patient experienced injection site soreness but then was fine. Then about three weeks after receiving the third dose of GARDASIL. The patient experienced bruising in her leg which caused immobility, which they thought was a blood clot so they took her to the emergency room and had to stabilize her leg and then shortly after the bruising cleared up. Then in September 2008 the bruising came back in her leg and starting in November 2008 the patient started to get sick constantly. The patient could not move, was very exhausted, lost about 7 pounds, could not eat, and had breathing problems. The patient was taken to a pulmonologist because her pediatrician thought she may have walking pneumonia, mono or asthma, but they were all ruled out. Then the patient was taken to a physician who ran a bunch of blood test, and computerized tomography scan (CT) of her brain and a magnetic resonance imaging (MRI) of her left leg. The MRI and CT scan came back fine, but the physician stated that through the blood work the patient''s immune system was compromised and believed it was from GARDASIL " The patient then started to get a lot of sinus infections and developed cyst in her sinus so she had out patient surgery (name of hospital, address and phone number unspecified)." The consumer reported that in mid May 2009 the patient developed mono and had been doing better but still got exhausted pretty fast, and had missed about 45 days of school this past school year. The patient was seen by the pediatrician to seek medical attention. At the time of report, the patient was recovering. Upon internal review, mononucleosis and bruising in leg were considered to be disabling. Additional information has been requested. 7/24/09 Clinical summary rec''d from PCP including 2 consults-Heme/Onc and Allergy/Asthma. Dx since vaccines: Mononucleosis, infectious. Sinusitis, acute. Viral syndrome. Weight loss, abnormal. Depression. Splenomegaly. Fatigue. Bronchitis. Chest pain. Leg pain. Seen by allergy/asthma MD 1/26/09 for: Chronic rhinitis with possible allergic trigger, Chronic cough, resolving most likely related to post-nasal drip from rhinitis, possible tongu angioedema vs irritation. Exam WNL. Heme/Onc consult for MTHFR mutation heterozygosity. C/O fatigue, tiredness, arthralgias/myalgias as well abdominal sx. (+) features of Chronic Fatigue Immune Dysfunction syndrome.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166