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This is VAERS ID 337797

Case Details

VAERS ID: 337797 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: New Mexico  
Vaccinated:2007-01-03
Onset:2007-08-31
   Days after vaccination:240
Submitted: 2009-01-21
   Days after onset:509
Entered: 2009-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abnormal behaviour, Fatigue, Headache, Hypersomnia, Menorrhagia, Menstrual disorder, Metrorrhagia, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Dementia (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-08-31
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: none~ ()~~0.00~Patient|none~ ()~~0.00~Sibling
Other Medications: Nasonex (Pseudovent 400 substituted for Entex 400 120 capsule),Claritan, Triamcinolene Acetonide cream for rash on wrist.
Current Illness: Went in for sinisitus, and had a sore throat. She had bad sinus allergies. But they still gave her the shots.
Preexisting Conditions: Seasonal allergies. None other.
Allergies:
Diagnostic Lab Data: 4/7/09-path report received-multiple tissues with extensive autolysis and bacterial overgrowth. Molecular evidence of a Clostridium sp.
CDC Split Type:

Write-up: Headaches, periods were very erratic. She would have them every 14 days @times, and others just spotting. Very bad cramps and periods were heavier after the 1st Gardasil shot. Wasn''t her normal spunky and happy self. She was very tired and the last few weeks before she passed away, sheslept alot during the day which she never did. Never had any other problems prior to the Gardasil shots. She recieved all three shots in the series. Last shot was 5-2-2007. 2/9/09-autopsy report received-COD-undetermined by autospy and toxicology.3/18/09-records received-well visit C/O contact dermatitis, nasal congestion, itchy sore throat times 2-3days. HPV4 lot#1424 F received 1/3/07 in right deltoid. Lot #0384U received 5/2/07 left deltoid and 12/2/08 lot#0955F left deltoid.


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