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This is VAERS ID 695378

(NOTE: This result is from the 6/14/2017 version of the VAERS database)

Case Details

VAERS ID: 695378 (history)  
Form: Version .0  
Age: 16.0  
Sex: Female  
Location: Texas  
Vaccinated:2011-11-23
Onset:2011-11-23
   Days after vaccination:0
Submitted: 2017-05-19
   Days after onset:2003
Entered: 2017-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1317AA / 1 LA / UN

Administered by: Unknown       Purchased by: Other
Symptoms: Balance disorder, Burning sensation, Cerebral disorder, Death, Decompressive craniectomy, Disturbance in attention, Drowning, Feeding disorder, Feeling abnormal, Headache, Immediate post-injection reaction, Influenza, Laboratory test normal, Pain, Peripheral nerve operation, Polycystic ovaries, Postural orthostatic tachycardia syndrome, Weight increased
SMQs:, Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Fertility disorders (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2017-05-17
   Days after onset: 2001
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: allergic~Pertussis (no brand name)~~0.00~Patient
Other Medications:
Current Illness: no, was healthy, highly athletic, 4.0 student. Date of vaccination was sometime around 2009, but exact date unknown.
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: As soon as received GARDASIL vaccine, had burning thru entire body. Felt different after that. Balance issues, concentration issues. Said her brain felt different. Soon after that, had a virus that was thought to be flu. Treated with antibiotics. Had a headache that would not go away for 45 days. Went from being a 115 lb athlete, to a 155 lbs and could not eat. Hospitalized at two hospitals. Also hospitalized other times and other places afterwards. She never got better--had terrible pain. Had multiple tests and saw many doctors and all tests were normal. They could never find the cause of the headaches, but she did have 2 surgeries to improve the headaches-decompression surgery in 2015 and removal of nerves in forehead in 2016. She was diagnosed with POTS and with polycystic ovarian syndrome after vaccination. Had possible seizures-saw over 200 doctors. Died in the bathtub due to drowning.


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