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The following is all the information available on report# VAERS_ID: 742720
Vaccine(s) were received on 06/15/2016
Vaccine(s) were received in the state: TX
At the time of vaccination, patient was : 16 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N

The following Lab Data for this case is available: requested lab work in July 2017

The following Data for this patients HISTORY is available: none

The following Data for this patients ALLERGIES is available: [allergic to penicillin ]

Description of adverse reaction: Experienced bad headaches, swollen itchy watering eyes, nasal congestion for the first two weeks following HPV vaccine. In August 2016, patient came home from school every day and slept and expressed significant fatigue. Patient has never done this before. He has always been very active (sports, hunting, etc.), so this was a new behavior for him. Patient experienced upper respiratory infections in October, November, then had the flu in December. Frequent complaints of headaches, rashes on abdomen and chest, complaints of eye sensitivity to light, swollen eyes. Developed genital warts in November (patient is not sexually active). Hair loss, receding hairline. Increased anxiety, anger, mood swings. Patient stated, "my body feels like an old man, I can't keep up with my buddies, I don't have any energy". Upper respiratory infections in May and June.


Vaccine(s) associated with report# 742720

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
HPV9HPV (GARDASIL 9) MERCK & CO. INC.M0093621IMRA
MENBMENINGOCOCCAL B (BEXSERO) NOVARTIS VACCINES AND DIAGNOSTICS151301D1IMLA
MNQMENINGOCOCCAL CONJUGATE (MENVEO) NOVARTIS VACCINES AND DIAGNOSTICSM151222IMRA

Symptoms(s) associated with report# 742720

Alopecia
Anogenital warts
Anxiety
Eye pruritus
Eye swelling
Fatigue
Feeling abnormal
Headache
Influenza
Laboratory test
Lacrimation increased
Mood swings
Nasal congestion
Photophobia
Rash
Upper respiratory tract infection