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This is VAERS ID 452626

Case Details

VAERS ID: 452626 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:2012-03-07
Onset:0000-00-00
Submitted: 2012-03-28
Entered: 2012-03-29
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abasia, Autoimmune disorder, Gallbladder enlargement, Injection site pain, Monoplegia, Oedema peripheral, Spherocytic anaemia, Splenomegaly
SMQs:, Cardiac failure (broad), Angioedema (broad), Anticholinergic syndrome (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Gallbladder related disorders (narrow), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Urinary tract infection
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1203USA02365

Write-up: Information has been received from a consumer (local reference number ZAF-12-0019) concerning her 12 year old granddaughter with urinary tract infection and family history of spherocytosis (father) who one and a half weeks ago (on approximately 07-MAR-2012), was vaccinated with the first dose of GARDASIL (lot number, dose and route not reported). Subsequently the patient experienced paralysis of her left arm and leg, swelling of her arms and legs, the patient was unable to walk (disabling her). The patient also developed an enlarged spleen, enlarged gallbladder and a painful injection site and was therefore hospitalized overnight. It was reported that the patient was diagnosed with a genetic/autoimmune disease by the treating physician. Preliminary diagnosis was considered to be spherocytosis, as the patient''s red blood cells were abnormal and killed each other off. At the time of the report the patient was recovering resolving. Paralysis of left arm and leg were considered to be disabling per primary reporter. Additional information has been requested.


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