National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 502889

Case Details

VAERS ID: 502889 (history)  
Age: 15.0  
Gender: Female  
Location: Foreign  
Vaccinated:2008-12-12
Onset:2009-01-15
   Days after vaccination:34
Submitted: 2013-09-18
   Days after onset:1706
Entered: 2013-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Arthralgia, Blister, Blood test, Cystitis, Depersonalisation, Depression, Diarrhoea, Disturbance in attention, Dizziness, Dysmenorrhoea, Ear pain, Ear, nose and throat examination, Enuresis, Fatigue, Feeling cold, Hot flush, Hyperacusis, Infection, Inflammation, Influenza, Insomnia, Joint swelling, Lymphadenopathy, Memory impairment, Migraine, Myalgia, Nausea, Nocturia, Nuclear magnetic resonance imaging brain, Ophthalmological examination, Oral herpes, Pain in jaw, Photosensitivity reaction, Presyncope, Restlessness, Sensory disturbance, Skin papilloma, Speech disorder, Tonsillar hypertrophy, Visual impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Dementia (broad), Pseudomembranous colitis (broad), Akathisia (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Glaucoma (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Hearing impairment (narrow), Vestibular disorders (broad), Osteonecrosis (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Repeated blood sampling performed (blood tests not specified) on unspecified dates. Ear, nose and throat examination performed on an unspecified date. Investigation at an Infectious Diseases clinic on an unspecified date. Ophthalmological examination performed by ophthalmologist on an unspecified date. MR-scan of head on an unspecified date. Investigated at a dizziness clinic on an unspecified date. Investigated by a rheumatologist on an unspecified date. Has been extensively examined, however without diagnosis.
CDC Split Type: WAES1309DNK001386

Write-up: Case received from a patient/consumer via Health Authority in a foreign country on 22-Aug-2013 under reference numbers EFO6602 and 22216740. Case not confirmed. A 15 year old female patient had received an injection of GARDASIL (dose, batch number, route and site not reported) on 18-Dec-2008 and later on 15-Jan-2009 she developed infections, migrainous headache, dizziness, near fainting, nausea, severe tiredness, sleeplessness, restlessness in the body, concentration problems, memory problems, visual disturbance, speech disorder, self-estrangement, feeling cold, hot flashes, chronic muscle pain and joint pain in neck, shoulder, back, lower back, hips and knees, swelling in the knee, jaw pain, swollen tonsils, swollen lymph, cold sores, warts on legs, inflammation, pain in ears, significant menstrual pain, flu symptoms, nighttime urination 2-5 per night, permanent diarrhea, bladder infection, depressed, sensitive to sound, photosensitive, blisters on the eye and pain in ears. The patient has earlier always been healthy and active and performed sport at a very high level, which she not has been able to during the last couple of years and she has not been/is able to take an education at prescribed time. It is mentioned by HA that neither former doctor or the patient herself has been aware of the relationship, despite the fact that especially after the second vaccination the patient suddenly got health problems. As it is reported by HA that patient''s health problems started especially after vaccination no. 2 (all events started 15-Jan-2009) it is considered that the vaccination date (19-Jun-2009) mentioned by HA is vaccination 3. The patient was previously probably vaccinated with GARDASIL (batch number, route and site not reported) on an unspecified date. The patient has not earlier had any health problems in general. Several examinations have been performed. No results provided. Repeat blood sampling performed (blood tests not specified) on unspecified dates. Ear, nose and throat examination performed on an unspecified date. Investigation at an Infectious Diseases clinic on an unspecified date. Ophthalmological examination performed by ophthalmologist on an unspecified date. MR-scan of head on an unspecified date. Investigated at a dizziness clinic on an unspecified date. Investigated by a rheumatologist on an unspecified date. At the time of reporting, the outcome was not recovered. Follow-up information received from health care professional via Health Authority in a foreign country on 10-Sep-2013. The side effects sensory disturbance was added, the side effect infection has been changed to recurrent infection and adverse reaction urination involuntary changed to nocturnal enuresis. The case has changed from not serious to serious and is not medically confirmed. The patient''s doctor has reported side effects: dizziness, joint pain, severe tiredness, sensory disturbances, vision and speech disturbances, concentration problems, nausea, headache, sleeplessness, restlessness, tendency to infection, flu symptoms, nocturia, depression and photosensitivity. The patient''s physician reported that the patient after 2 doses of GARDASIL experienced multiple symptoms and she has been extensively examined, however without diagnosis. Previously, the patient was very active soccer player at a high level and now she can barely cope with everyday life and school. The patient''s doctor has reported that the side effects resulted in disability or significant loss of function. The doctor reports that the patient was first shot on 12-Dec-2008 and second vaccine on 13-Feb-2009. Batch numbers of the vaccines are unknown. The vaccines are given intramuscularly. The patient had no other vaccines or other medicines used as side effects occurred. Based on the information reported, the date of first dose GARDASIL was changed from 18-Dec-2008 to 12-Dec-2008. The latency is changed to 34 days for all events (previously 28 days). The outcome is not recovered


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=502889


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