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This is VAERS ID 695378

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 695378 (history)  
Form: Version 1.0  
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 / 2 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), Infective pneumonia (broad), Dehydration (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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