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This is VAERS ID 460891

Case Details

VAERS ID: 460891 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Foreign  
Vaccinated:2012-05-31
Onset:2012-06-03
   Days after vaccination:3
Submitted: 2012-08-02
   Days after onset:60
Entered: 2012-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NP14780 / 3 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Expired drug administered, Multiple sclerosis, Nuclear magnetic resonance imaging abnormal, Ophthalmological examination abnormal
SMQs:, Optic nerve disorders (broad), Demyelination (narrow), Corneal disorders (broad), Medication errors (narrow)

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: No other medications
Current Illness:
Preexisting Conditions: Expired drug used; Immunisation
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1208DEU000718

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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