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This is VAERS ID 443785

Case Details

VAERS ID: 443785 (history)  
Age:   
Gender: Unknown  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2011-11-28
Entered: 2011-11-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amnesia, Muscle twitching, Muscular weakness, Nausea, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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: WAES1111USA02669

Write-up: Information has been received from an agency (local reference No. NZL/11/0105) concerning a patient (age and gender unknown) who an unknown date was vaccinated with a dose of GARDASIL (lot number, route and dose not reported). On an unspecified date the patient experienced nausea, faintness, muscle weakness, twitching and memory loss. At the time of reporting the patient had not recovered. Nausea, faintness, muscle weakness, twitching and memory loss were considered to be disabling by the agency. The reporter felt that nausea, faintness, muscle weakness, twitching and memory loss were related to therapy with GARDASIL. The original reporting source was not provided. No further information is available.


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