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This is VAERS ID 435386

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2012

435386
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted:2011-09-22
Entered:2011-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Dizziness, Insomnia, Lethargy, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1109USA01346

Write-up:This report was received from CSL and was assigned manufacturer report number 1000249840 (local reference number AUS-11-1130) concerning an approximately 13 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL. Since receiving her last dose of GARDASIL from the NIP school programme, in October 2010, the patient had ongoing dizziness, abdominal pains, lethargy and insomnia. The patient had had 20 days this year off school (unable to attend school) as a result of these symptoms. Reporter does not want this adverse event followed up and did not provide consent. Dizziness, abdominal pains, lethargy and insomnia were considered to be disabling since the patient had 20 days off school (unable to attend school) as a result of these symptoms. The original reporting source was not provided. No further information is available.


Changed on 9/14/2017

435386 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted:2011-09-22
Entered:2011-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Dizziness, Insomnia, Lethargy, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1109USA01346

Write-up:This report was received from CSL and was assigned manufacturer report number 1000249840 (local reference number AUS-11-1130) concerning an approximately 13 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL. Since receiving her last dose of GARDASIL from the NIP school programme, in October 2010, the patient had ongoing dizziness, abdominal pains, lethargy and insomnia. The patient had had 20 days this year off school (unable to attend school) as a result of these symptoms. Reporter does not want this adverse event followed up and did not provide consent. Dizziness, abdominal pains, lethargy and insomnia were considered to be disabling since the patient had 20 days off school (unable to attend school) as a result of these symptoms. The original reporting source was not provided. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=435386&WAYBACKHISTORY=ON


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