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This is VAERS ID 321620

Case Details

VAERS ID: 321620 (history)  
Age: 13.0  
Gender: Female  
Location: Foreign  
Submitted: 2008-08-07
Entered: 2008-08-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anaemia, Irritable bowel syndrome
SMQs:, Haematopoietic erythropenia (broad), Noninfectious diarrhoea (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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: WAES0808USA00912

Write-up: Information has been received from a health authority (ref # ADR 20289066) concerning a 13 year old female who on 13-JUL-2007 and 03-SEP-2007 was vaccinated with a dose of GARDASIL, (batch # not reported), intramuscularly (IM). On an unreported date, post vaccination, the experienced irritable bowel syndrome and subsequent anaemia. The patient outcome was unknown. It was reported that the patient''s mother suspected a connection. The reporter considered the events to involve perisitent of significant disability or incapacilty. Other business partner numbers E2008-07404. Additional information has been requested.

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