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This is VAERS ID 286841

Case Details

VAERS ID: 286841 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 2007-08-03
   Days after onset:78
Entered: 2007-08-06
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Lethargy, Malaise, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707AUS00227

Write-up: Information was obtained on request by the Company from the agency via a Public Case Details Form and a Case Line Listing concerning a 16 year old female who on 17-MAY-2007 was vaccinated with Gardasil. On 17-MAY-2007 after vaccination with Gardasil, the patient experienced dizziness, malaise, lethargy and acute nausea which persisted more than 12 hours later. At the time of reporting to the agency on 17-MAY-2007, the outcome of dizziness, malaise, lethargy and acute nausea were unknown. The agency considered that dizziness, malaise, lethargy and acute nausea were possibly related to therapy with Gardasil. The original reporting source was not provided. Dizziness, malaise, lethargy and acute nausea were considered to be disabling by the agency. Additional information is not expected.

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