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This is VAERS ID 501102

History of Changes from the VAERS Wayback Machine

First Appeared on 12/13/2013

VAERS ID: 501102
Age:10.0
Gender:Female
Location:Foreign
Vaccinated:2012-08-27
Onset:0000-00-00
Submitted:2013-09-02
Entered:2013-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Gait disturbance, Hypoaesthesia, Muscular weakness, Nasopharyngitis, Laboratory test normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Unspecified examination in a brain surgery department and a prefectural hospital (date unknown): no abnormality was found
CDC 'Split Type': WAES1308JPN014926

Write-up:Initial information has been received from a physician concerning a female patient in her 10''s. On 27-AUG-2012, she received the third GARDASIL intramuscular (IM) injection drug (injection site and lot number not provided). No concomitant medication was reported. On 29-SEP-2011, the patient received the first GARDASIL IM injection drug (at A hospital). On an unspecified date, the patient received the second GARDASIL IM injection drug (at A hospital). On 27-AUG-2012 as mentioned above, the patient received the third GARDASIL IM injection drug (at A hospital). On an unspecified date, 5 days after the third vaccination, the patient had cold symptoms and then numbness, gait disturbance and weakness of limbs. On an unspecified date, the patient visited a department of brain surgery and a prefectural hospital, where no abnormality was found. The patient then left the symptoms untreated. In NOV-2012, the patient complained of only cold symptoms at A hospital. In APR-2013, the patient presented to B hospital because symptoms such as numbness, gait disturbance and weakness of limbs appeared again. At the time of this report, the outcome of the numbness gait disturbance, cold symptoms and weakness of limbs was unknown. Reporter''s comment: A hospital: I did not know details about the patient''s symptoms because she complained of only cold symptoms when visited our hospital in NOV-2012. Her symptoms (numbness, gait disturbance and weakness of limbs) were reported by the B hospital after her 3 vaccinations. I have never seen her symptoms, so I can do nothing about them. B hospital: The GARDASIL is suspected to be related to the symptoms. The reporting physician assessed that the numbness, gait disturbance and weakness of limbs were related to GARDASIL. The reporting physician did not assess the causal relationship of the cold symptoms with GARDASIL. The reporting physician assessed the numbness, gait disturbance and weakness of limbs as serious (disability). The reporting physician did not assess the seriousness of the cold symptoms. Further information has been requested.


Changed on 6/14/2014

VAERS ID: 501102 Before After
Age:10.0
Gender:Female
Location:Foreign
Vaccinated:2012-08-27
Onset:0000-00-00
Submitted:2013-09-02
Entered:2013-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Gait disturbance, Hypoaesthesia, Muscular weakness, Nasopharyngitis, Laboratory test normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Unspecified examination in a brain surgery department and a prefectural hospital (date unknown): no abnormality was found
CDC 'Split Type': WAES1308JPN014926

Write-up:Initial information has been received from a physician concerning a female patient in her 10''s. On 27-AUG-2012, she received the third GARDASIL intramuscular (IM) injection drug (injection site and lot number not provided). No concomitant medication was reported. On 29-SEP-2011, the patient received the first GARDASIL IM injection drug (at A hospital). On an unspecified date, the patient received the second GARDASIL IM injection drug (at A hospital). On 27-AUG-2012 as mentioned above, the patient received the third GARDASIL IM injection drug (at A hospital). On an unspecified date, 5 days after the third vaccination, the patient had cold symptoms and then numbness, gait disturbance and weakness of limbs. On an unspecified date, the patient visited a department of brain surgery and a prefectural hospital, where no abnormality was found. The patient then left the symptoms untreated. In NOV-2012, the patient complained of only cold symptoms at A hospital. In APR-2013, the patient presented to B hospital because symptoms such as numbness, gait disturbance and weakness of limbs appeared again. At the time of this report, the outcome of the numbness gait disturbance, cold symptoms and weakness of limbs was unknown. Reporter''s comment: A hospital: I did not know details about the patient''s symptoms because she complained of only cold symptoms when visited our hospital in NOV-2012. Her symptoms (numbness, gait disturbance and weakness of limbs) were reported by the B hospital after her 3 vaccinations. I have never seen her symptoms, so I can do nothing about them. B hospital: The GARDASIL is suspected to be related to the symptoms. The reporting physician assessed that the numbness, gait disturbance and weakness of limbs were related to GARDASIL. The reporting physician did not assess the causal relationship of the cold symptoms with GARDASIL. The reporting physician assessed the numbness, gait disturbance and weakness of limbs as serious (disability). The reporting physician did not assess the seriousness of the cold symptoms. Further information has been requested.


Changed on 3/14/2015

VAERS ID: 501102 Before After
Age:10.0
Gender:Female
Location:Foreign
Vaccinated:2012-08-27
Onset:0000-00-00
Submitted:2013-09-02
Entered:2013-09-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Gait disturbance, Hypoaesthesia, Muscular weakness, Nasopharyngitis, Laboratory test normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Unspecified examination in a brain surgery department and a prefectural hospital (date unknown): no abnormality was found
CDC 'Split Type': WAES1308JPN014926

Write-up:Initial information has been received from a physician concerning a female patient in her 10''s. On 27-AUG-2012, she received the third GARDASIL intramuscular (IM) injection drug (injection site and lot number not provided). No concomitant medication was reported. On 29-SEP-2011, the patient received the first GARDASIL IM injection drug (at A hospital). On an unspecified date, the patient received the second GARDASIL IM injection drug (at A hospital). On 27-AUG-2012 as mentioned above, the patient received the third GARDASIL IM injection drug (at A hospital). On an unspecified date, 5 days after the third vaccination, the patient had cold symptoms and then numbness, gait disturbance and weakness of limbs. On an unspecified date, the patient visited a department of brain surgery and a prefectural hospital, where no abnormality was found. The patient then left the symptoms untreated. In NOV-2012, the patient complained of only cold symptoms at A hospital. In APR-2013, the patient presented to B hospital because symptoms such as numbness, gait disturbance and weakness of limbs appeared again. At the time of this report, the outcome of the numbness gait disturbance, cold symptoms and weakness of limbs was unknown. Reporter''s comment: A hospital: I did not know details about the patient''s symptoms because she complained of only cold symptoms when visited our hospital in NOV-2012. Her symptoms (numbness, gait disturbance and weakness of limbs) were reported by the B hospital after her 3 vaccinations. I have never seen her symptoms, so I can do nothing about them. B hospital: The GARDASIL is suspected to be related to the symptoms. The reporting physician assessed that the numbness, gait disturbance and weakness of limbs were related to GARDASIL. The reporting physician did not assess the causal relationship of the cold symptoms with GARDASIL. The reporting physician assessed the numbness, gait disturbance and weakness of limbs as serious (disability). The reporting physician did not assess the seriousness of the cold symptoms. Further information has been requested.


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