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This is VAERS ID 481177

Case Details

VAERS ID: 481177 (history)  
Age: 13.0  
Gender: Female  
Location: Foreign  
Vaccinated:2012-05-24
Onset:2012-05-27
   Days after vaccination:3
Submitted: 2013-01-14
   Days after onset:232
Entered: 2013-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NN51700 / 1 UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Blood test normal, Borrelia test negative, Fatigue, Headache, Lumbar puncture normal, Malaise, Musculoskeletal pain, Nausea, Neck pain, Varicella virus test negative, Viral test negative
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions: Asthma
Diagnostic Lab Data: Blood test, Normal; Borrelia test, Negative; Lumbar puncture, Negative, Negative for TBE, Lyme, Herpes and Varicella
CDC Split Type: WAES1210SWE011647

Write-up: Case received from a Health Care professional on 11-Oct-2012. Case medically confirmed. A 14-year-old female patient had received an injection of GARDASIL (batch number unknown, dose 2, route and site not reported) on 24-May-2012 and later on 3-4 days post vaccination she developed nausea, headache, pain in shoulders and neck, malaise and fatigue, around 27-May-2012. Borrelia test carried out on an unspecified date was negative. The patient was previous healthy. She had previously received one dose of GARDASIL on an unspecified date. At the time of reporting, the outcome was not recovered for nausea and malaise and recovered for headache, pain in shoulders and neck and fatigue. No further information expected. Follow-up information was received from the Health care professional on 12-Dec-2012: Batch number reported: G009842. No further information expected. Follow-up information was received from the Health care professional on 02-Jan-2013: The patient had a history of asthma but was otherwise healthy. The nausea persisted and was according to the reporter disabling. She was well investigated, lumbar puncture was performed among other things, but nothing had been found. Other possible causes of nausea had almost been ruled out. The outcome of malaise was not reported. No further information expected. Follow-up information was received from the HCP via a company representative on 08-Jan-2013. The patient has persistent symptoms, particularly with fatigue and nausea. She has rather intense nausea in the mornings that is motion triggered and this is why gastrological involvement probably was not the underlying cause. Symptoms debuted together with rash on the cheeks and this is why the doctor believed in some kind of immunological disorder, possibly an inflammation in the CNS, causing the symptoms. A MRI brain was scheduled. Lumbar puncture test was negative for TBE, Lyme disease, Herpes and Varicella. Blood values were also normal.


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