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|History of Changes from the VAERS Wayback Machine|
First Appeared on 12/8/2009
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.||- / 0||UN / UN|
Administered by: Unknown Purchased by: Unknown
Symptoms: Anaphylactic shock, No reaction on previous exposure to drug, Psychotic disorder
Life Threatening? No
Permanent Disability? Yes
ER or Doctor Visit? No
Other Medications: Unknown
Current Illness: Developmental delay
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA04762
Write-up:Information has been received from a health authority (reference number PEI2009004916) via a physician concerning a 16 year old female with a history of developmental delay who was vaccinated with a second dose of GARDASIL (lot # and injection site not reported) IM on 10-JAN-2008. One day p.v., on 11-JAN-2008, the patient experienced an allergic shock. Subsequently she developed an unspecified psychosis. She was hospitalized for ten weeks and recovered "with sequelae" (not specified). First vaccination with GARDASIL on 11-OCT-2007 was well tolerated. Other business partner numbers included: E2009-02497. No further information is available. File closed.
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