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This is VAERS ID 398110

Case Details

VAERS ID: 398110 (history)  
Age: 15.0  
Gender: Female  
Location: Unknown  
Vaccinated:2009-07-15
Onset:2009-07-15
   Days after vaccination:0
Submitted: 2010-08-04
   Days after onset:385
Entered: 2010-09-08
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Condition aggravated, Eczema, Fatigue
SMQs:, Dementia (broad), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Eczema
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0907USA02568

Write-up: Information has been received from a pharmacist concerning a 15 year old female with eczema who on 15-JUL-2009 was vaccinated with the first dose of GARDASIL. On 15-JUL-2009 the patient experienced extreme fatigue and an exacerbation of pre existing eczema after her first dose. The patient sought medical attention. Severe fatigue was considered to cause a disability because the patient could not get out of bed. At the report time the patient had not recovered. All telephone attempts to obtain follow-up information have been unsuccessful. Additional information has been requested.


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