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This is VAERS ID 457410

Case Details

VAERS ID: 457410 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2012-06-13
Entered: 2012-06-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Lyme disease
SMQs:, Dementia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1208USA01077

Write-up: Information has been received from a licensed practical nurse concerning a female patient of colleague age who on an unspecified date was vaccinated with her first dose of GARDASIL (lot # not reported). Two months later or a short time after, the girl was diagnosed with Lyme disease and they did not know that she had Lyme disease. They were claiming that the GARDASIL exacerbated the Lyme disease and saying the vaccination brought the symptoms on of the Lyme disease. She got vaccinated and all the sudden her symptoms came out to the point where she could not work or go to school. They thought it could have been an auto-immune response but they did not know for sure. The only thing that they thought might have triggered her symptoms becoming a parent was her vaccination of GARDASIL. The provider told the patient not to get any more GARDASIL vaccines so they were not completing the series. The patient went and saw a specialist because of the Lyme disease symptoms. At the time of the report, the patient had not recovered. Upon internal review, Lyme disease was considered to be disabling. Additional information has been requested.

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