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This is VAERS ID 424271

Case Details

VAERS ID: 424271 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:9
Submitted: 2011-05-27
   Days after onset:77
Entered: 2011-05-31
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Angina pectoris, Asthenia, Guillain-Barre syndrome, Hyperhidrosis, Hypoaesthesia, Incorrect route of drug administration, Malaise, Muscular weakness, Nausea, Pharyngitis, Polyneuropathy, Toxicologic test normal, Urinary incontinence, Viral test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Demyelination (narrow), Other ischaemic heart disease (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Cefuroxime; RHINOFLUIMUCIL
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1105USA03490

Write-up: Information has been received from Health Authorities on 19-MAY-2011 under the reference number PO20110312 case medically confirmed. A 16 year old female patient had a dose of GARDASIL (Batch number not reported) via subcutaneous route - instead of intramuscular as recommended - on 01-MAR-2011. On 10-MAR-2011 the patient presented with angina which was treated with cefuroxime and RHINOFLUIMUCIL. Both medications were stopped on 15-MAR-2011. On 15-MAR-2011, i.e. 14 days after vaccination, the patient experienced malaise with asthenia, nauseas, sweatings and decrease of muscular strength, as well as uncontrolled loss of urine. On the same day she also presented with hypoallesthesia of the four limbs. Guillain Barre Syndrome was suspected. Urinary toxic search were negative. Viral serologies were negative too. On 23-MAR-2011, mild polyradiculoneuritis was diagnosed. At the time of reporting, the outcome was unknown. The Health Authorities assessed the causal relationship between the reported reactions and vaccination as doubtful (C1 S1 I1) according to the method of assessment. The same assessment was done between the reported reaction and the medication with cefuroxime and RHINOFLUIMUCIL. Upon medical review, the company judged relevant to code wrong route of administration and pharyngitis, which mentioned by the CA in the narrative but not coded. Polyradiculoneuritis, pharyngitis and vaccine administered via SC instead of IM route were considered to be disabling. Other business partner numbers include E2011-03095.

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