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This is VAERS ID 375363

Case Details

VAERS ID: 375363 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2009-12-28
Entered: 2009-12-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Adverse event, Disability, Impaired work ability
SMQs:

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: WAES0912USA02381

Write-up: Information has been received from a consumer that read an article "maybe last summer" concerning a female patient who on an unspecified date was vaccinated with a dose of GARDASIL (route and lot # unknown) and she was "messed up". The consumer did not remember what specific adverse effects the patient experienced but the patient could no longer work. At time of this report the patient outcome was unknown. Mess up/adverse event was considered to be disabling. Attempts are being made to verify the existence of an identifiable patient and reporter. Additional information has been requested.


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