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From the 4/23/2021 release of VAERS data:

This is VAERS ID 721865

Case Details

VAERS ID: 721865 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Foreign  
Submitted: 0000-00-00
Entered: 2017-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Completed suicide, Death, Depression, Headache, Lethargy, Mobility decreased, Photophobia, Tinnitus
SMQs:, Suicide/self-injury (narrow), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Hearing impairment (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: PH0095075131710PHL008472

Write-up: This spontaneous report was received from a consumer, via an Internet journal, and refers to a 15 year old female patient. The patient''s concurrent conditions, medical history and concomitant therapies were not reported. It was reported that prior to the vaccine, she was healthy and active, and rarely missed a day of school. On an unknown date, the patient was vaccinated with the second dose of GARDASIL prophylaxis (strength, dose, route, frequency, lot/batch # and expiration date were not reported) by doctor''s recommendation. On an unknown date, after received the second dose of GARDASIL, she became very lethargic and could hardly get out of bed, suffering from horrible headaches. They had to black out the light in her room because of the pain it caused, and she did not leave her bed for days; the family had to hire a teacher to teach her sophomore year of high school since she could not leave her home (unspecified dates). After starting a very strict diet that an alternative health practitioner recommended, the family had some hope that she could recover, but she battled depression, and it was learned from her journals, after her death, that she had a constant buzzing sound in her head. She had tried every anti-depressant drug on the market without success. On an unknown date, the patient committed suicide (completed suicide), cause of death was commits suicide, it was unknown if an autopsy was performed. The outcome of disability, headache, tinnitus, depression, photophobia and lethargy was not reported. The causality between committed suicide, disability, headache, tinnitus, depression, photophobia and lethargy with GARDASIL was not reported. Upon internal review, committed suicide and disability was determined to be medically significant events.; Reported Cause(s) of Death: Commits suicide.

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