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This is VAERS ID 294547

Case Details

VAERS ID: 294547 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-12
Onset:2007-03-01
   Days after vaccination:17
Submitted: 2007-10-25
   Days after onset:237
Entered: 2007-10-27
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Endoscopy normal, Fatigue, Grip strength decreased, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: endoscopy - negative
CDC Split Type: WAES0710USA04326

Write-up: Information has been received from a physician concerning a 12 year old female with no known allergies and no pertinent medical history who on 15-DEC-2006 was vaccinated intramuscularly with a first 0.5 mL dose of Gardasil. On 12-FEB-2007 the patient was vaccinated intramuscularly with a second 0.5 mL dose of Gardasil. There was no concomitant medication. Since March 2007, the patient experienced debilitating fatigue. The patient was unable to attend school and could barely get out of bed. The patient also experienced weakened hand grip, abdominal pain and nausea. A gastrointestinal work-up, including endoscopy was negative. On 14-JUN-2007 the patient was vaccinated intramuscularly with a third 0.5 mL dose of Gardasil. The physician reported that the patient''s symptoms worsened after the third dose of Gardasil. As of 22-OCT-2007 the patient''s debilitating fatigue, weakened hand grip, abdominal pain and nausea persisted. Debilitating fatigue, weakened hand grip, abdominal pain and nausea were considered to be disabling by the reporting physician. Additional information is not expected.


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