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This is VAERS ID 449331

History of Changes from the VAERS Wayback Machine

First Appeared on 2/13/2012

VAERS ID: 449331
Age:14.0
Gender:Male
Location:Pennsylvania
Vaccinated:2011-12-22
Onset:2011-12-29
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED UH469AH / 2 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1359AA / 0 RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Hypersomnia, Injection site erythema, Activities of daily living impaired, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1202USA00177

Write-up:Information has been received from a patient''s mother concerning her 14 year old son with a drug reaction/allergy to penicillin who on 22-DEC-2011, was vaccinated with a dose of GARDASIL (Lot#, dose and route not reported). Secondary suspect therapy included unspecified flu vaccine (manufacturer unknown) administered the same night. About a week after injection, on approximately 29-DEC-2011, the patient experienced asthenia and developed red spots at the injection site. The mother stated that her son has missed a month of school because of the reaction. The patient sought unspecified medical attention. No treatment for the AEs was given. The patient had blood tests performed (results not reported). At the time of the report, the patient had not recovered. Follow up information was received from a registered nurse who stated that the male child was still having difficulties. The child was sleeping up to 20 hours a day. The nurse reported that the patient received only one dose of GARDASIL (Lot#, dose and route not reported). At the time of the report, the patient had not recovered. Asthenia, red spot at the injection site and sleeping up to 20 hours a day were considered to be disabling. Additional information has been requested.


Changed on 7/7/2013

VAERS ID: 449331 Before After
Age:14.0
Gender:Male
Location:Pennsylvania
Vaccinated:2011-12-22
Onset:2011-12-29
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED UH469AH / 2 UN / UN
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED UH469AH / 2 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1359AA / 0 RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Hypersomnia, Injection site erythema, Activities of daily living impaired, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1202USA00177

Write-up:Information has been received from a patient''s mother concerning her 14 year old son with a drug reaction/allergy to penicillin who on 22-DEC-2011, was vaccinated with a dose of GARDASIL (Lot#, dose and route not reported). Secondary suspect therapy included unspecified flu vaccine (manufacturer unknown) administered the same night. About a week after injection, on approximately 29-DEC-2011, the patient experienced asthenia and developed red spots at the injection site. The mother stated that her son has missed a month of school because of the reaction. The patient sought unspecified medical attention. No treatment for the AEs was given. The patient had blood tests performed (results not reported). At the time of the report, the patient had not recovered. Follow up information was received from a registered nurse who stated that the male child was still having difficulties. The child was sleeping up to 20 hours a day. The nurse reported that the patient received only one dose of GARDASIL (Lot#, dose and route not reported). At the time of the report, the patient had not recovered. Asthenia, red spot at the injection site and sleeping up to 20 hours a day were considered to be disabling. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 449331 Before After
Age:14.0
Gender:Male
Location:Pennsylvania
Vaccinated:2011-12-22
Onset:2011-12-29
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED UH469AH / 2 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1359AA / 0 RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Hypersomnia, Injection site erythema, Activities of daily living impaired, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1202USA00177

Write-up:Information has been received from a patient''s mother concerning her 14 year old son with a drug reaction/allergy to penicillin who on 22-DEC-2011, was vaccinated with a dose of GARDASIL (Lot#, dose and route not reported). Secondary suspect therapy included unspecified flu vaccine (manufacturer unknown) administered the same night. About a week after injection, on approximately 29-DEC-2011, the patient experienced asthenia and developed red spots at the injection site. The mother stated that her son has missed a month of school because of the reaction. The patient sought unspecified medical attention. No treatment for the AEs was given. The patient had blood tests performed (results not reported). At the time of the report, the patient had not recovered. Follow up information was received from a registered nurse who stated that the male child was still having difficulties. The child was sleeping up to 20 hours a day. The nurse reported that the patient received only one dose of GARDASIL (Lot#, dose and route not reported). At the time of the report, the patient had not recovered. Asthenia, red spot at the injection site and sleeping up to 20 hours a day were considered to be disabling. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 449331 Before After
Age:14.0
Gender:Male
Location:Pennsylvania
Vaccinated:2011-12-22
Onset:2011-12-29
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED UH469AH / 2 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1359AA / 0 RA / UN

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Hypersomnia, Injection site erythema, Activities of daily living impaired, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1202USA00177

Write-up:Information has been received from a patient''s mother concerning her 14 year old son with a drug reaction/allergy to penicillin who on 22-DEC-2011, was vaccinated with a dose of GARDASIL (Lot#, dose and route not reported). Secondary suspect therapy included unspecified flu vaccine (manufacturer unknown) administered the same night. About a week after injection, on approximately 29-DEC-2011, the patient experienced asthenia and developed red spots at the injection site. The mother stated that her son has missed a month of school because of the reaction. The patient sought unspecified medical attention. No treatment for the AEs was given. The patient had blood tests performed (results not reported). At the time of the report, the patient had not recovered. Follow up information was received from a registered nurse who stated that the male child was still having difficulties. The child was sleeping up to 20 hours a day. The nurse reported that the patient received only one dose of GARDASIL (Lot#, dose and route not reported). At the time of the report, the patient had not recovered. Asthenia, red spot at the injection site and sleeping up to 20 hours a day were considered to be disabling. Additional information has been requested.


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