National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 481177

History of Changes from the VAERS Wayback Machine

First Appeared on 5/13/2013

481177
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2013-01-14
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: Fatigue, Headache, Lumbar puncture normal, Malaise, Musculoskeletal pain, Nausea, Neck pain, Blood test normal, Viral test negative, Borrelia test negative, Varicella virus test negative

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: No other medications
Current Illness: Immunisation
Preexisting Conditions: Asthma
Allergies:
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.


Changed on 6/14/2014

481177 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2013-01-14
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: Fatigue, Headache, Lumbar puncture normal, Malaise, Musculoskeletal pain, Nausea, Neck pain, Blood test normal, Viral test negative, Borrelia test negative, Varicella virus test negative

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: No other medications
Current Illness: Immunisation
Preexisting Conditions: Asthma
Allergies:
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.


Changed on 3/14/2015

481177 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2013-01-14
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: Fatigue, Headache, Lumbar puncture normal, Malaise, Musculoskeletal pain, Nausea, Neck pain, Blood test normal, Viral test negative, Borrelia test negative, Varicella virus test negative

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: No other medications
Current Illness: Immunisation
Preexisting Conditions: Asthma
Allergies:
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.


Changed on 9/14/2017

481177 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2012-05-24
Onset:2012-05-27
Submitted:2013-01-14
Entered:2013-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. NN51700 / 1 2 UN / SYR

Administered by: Other      Purchased by: Other
Symptoms: Fatigue, Headache, Lumbar puncture normal, Malaise, Musculoskeletal pain, Nausea, Neck pain, Blood test normal, Viral test negative, Borrelia test negative, Varicella virus test negative

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: No other medications
Current Illness: Immunisation
Preexisting Conditions: Asthma
Allergies:
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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=481177&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166