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Administered by: Other Purchased by: Other
Life Threatening? No
Write-up: Case of misuse (expired vaccine administered) was received from the Health Authorities on 27-Jul-2012 (reference number PEI2012023882). Case is medically confirmed. A 15-year-old female patient received the complete immunisation series with three doses of GARDASIL (lot-no. NP14780, expiry date Mar-2012) IM on 16-Feb-2012 (D1), on 08-Apr-2012 (D2) and on 31-May-2012 (D3). Three days later, on 03-Jun-2012, she experienced multiple sclerosis (no symptoms reported) leading to hospitalisation. Diagnosis was established by MRI and ophthalmologic findings. The following diagnoses were excluded: systemic lupus erythematosus, collagenosis, infectious encephalitis and sarcoidosis. It was reported that the symptoms were ongoing. According to the reporter, the outcome was ''permanent disability''. Upon medical review the company judged relevant to code the following misuse: expired vaccine used which was not coded by CA.
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