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This is VAERS ID 445119

Case Details

VAERS ID: 445119 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2011-12-09
Entered: 2011-12-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Autoimmune disorder, Chronic fatigue syndrome, Depression, Disinhibition
SMQs:, Dementia (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow)

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: Unknown
CDC Split Type: WAES1112USA00219

Write-up: Information has been received from a nurse practitioner student (who was also a registered nurse) concerning a female who on an unspecified date ("a couple years ago") was vaccinated with the first dose of GARDASIL (Lot# was unspecified) (intramuscularly, dose not reported). With in days the patient showed signs of an unknown auto immune disorder. The nurse said they also showed signs of chronic fatigue syndrome, depression, possible retardation and a general lack of inhibition. The patient sought unspecified medical attention. Therapy with GARDASIL was discontinued. The patient''s adverse events were considered to be disabling by reporter. At the time of reporting, the outcome was unknown. Additional information has been requested.

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