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This is VAERS ID 458600

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2012

458600
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted:2012-07-02
Entered:2012-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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.


Changed on 6/14/2014

458600 Before After
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted:2012-07-02
Entered:2012-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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.


Changed on 4/14/2017

458600 Before After
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted:2012-07-02
Entered:2012-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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.


Changed on 9/14/2017

458600 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2010-10-01
Submitted:2012-07-02
Entered:2012-07-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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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