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This is VAERS ID 478222

Case Details

VAERS ID: 478222 (history)  
Age: 13.0  
Gender: Male  
Location: Foreign  
Vaccinated:2012-10-12
Onset:2012-10-12
   Days after vaccination:0
Submitted: 2012-12-14
   Days after onset:63
Entered: 2012-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Chest pain, Headache, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1212AUS004394

Write-up: Information was obtained on a request by the Company from the agency via a Public Case Detail (local reference # AUS/12/2712; agency # 308298) concerning a 13-year-old female patient. On 12-OCT-2012, the patient was vaccinated with a dose of GARDASIL (dose, route and lot number not reported). No other co-suspects were reported. No concomitant medications were reported. On 12-OCT-2012, the patient experienced shaking, headache and chest pain. The patient received Paracetamol as treatment for the adverse event. The outcome of shaking, headache and chest pain was reported as recovered/resolved. Relationship between shaking, headache and chest pain and therapy with GARDASIL was reported as possible by the agency. Shaking, headache and chest pain were considered disabling by the agency. The original reporting source was not provided. Additional information is not expected.


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