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This is VAERS ID 443800

Case Details

VAERS ID: 443800 (history)  
Form: Version 1.0  
Gender: Unknown  
Location: Foreign  
Submitted: 2011-11-28
Entered: 2011-11-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: C-reactive protein increased, Headache, Myalgia, Paraesthesia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: serum c-reactive protein, positive
CDC Split Type: WAES1111USA02623

Write-up: Information has been received from health authority (local reference No. NZL/11/0101) concerning a patient who on an unspecified date was vaccinated with a dose of GARDASIL (lot number, dose and site of administration not reported). Other medications were not reported. On an unspecified date, the patient experienced c-reactive protein positive, paraesthesia, headache, fever and myalgia. At the time of the report, the patient had not recovered. C-reactive protein positive, paraesthesia, headache, fever and myalgia were considered to be disabling by the agency. The reporter felt that c-reactive protein positive, paraesthesia, headache, fever and myalgia were related to therapy with GARDASIL. The original reporting source was not provided. No further information is available.

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