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This is VAERS ID 458600

Case Details

VAERS ID: 458600 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted: 2012-07-02
   Days after onset:640
Entered: 2012-07-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Fatigue, Post viral fatigue syndrome
SMQs:

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: Autism spectrum disorder
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1206USA05009

Write-up: This case was received from the health authority on 25-JUN-2012. ADR 21714883. This case was medically confirmed. A female patient of unknown age with a history of autism spectrum disorder received an injection of HPV (manufacturer, lot number and batch number not reported), route and site not reported, on an unreported date. On an unspecified date in October 2010, post vaccination, the patient developed post viral syndrome (chronic fatigue). At the time of reporting the patient was not yet recovered. The event was considered to be serious due to disability/incapacity. Other business partner numbers include E2012-04155.


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