National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 424271

History of Changes from the VAERS Wayback Machine

First Appeared on 7/12/2011

VAERS ID: 424271
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2011-03-01
Onset:2011-03-10
Submitted:2011-05-27
Entered:2011-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angina pectoris, Asthenia, Guillain-Barre syndrome, Hyperhidrosis, Hypoaesthesia, Malaise, Muscular weakness, Nausea, Pharyngitis, Polyneuropathy, Urinary incontinence, Toxicologic test normal, Viral test negative, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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.


Changed on 6/14/2014

VAERS ID: 424271 Before After
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2011-03-01
Onset:2011-03-10
Submitted:2011-05-27
Entered:2011-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angina pectoris, Asthenia, Guillain-Barre syndrome, Hyperhidrosis, Hypoaesthesia, Malaise, Muscular weakness, Nausea, Pharyngitis, Polyneuropathy, Urinary incontinence, Toxicologic test normal, Viral test negative, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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.


Changed on 4/14/2017

VAERS ID: 424271 Before After
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2011-03-01
Onset:2011-03-10
Submitted:2011-05-27
Entered:2011-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Angina pectoris, Asthenia, Guillain-Barre syndrome, Hyperhidrosis, Hypoaesthesia, Malaise, Muscular weakness, Nausea, Pharyngitis, Polyneuropathy, Urinary incontinence, Toxicologic test normal, Viral test negative, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=424271&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166