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This is VAERS ID 504912

Case Details

VAERS ID: 504912 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 0000-00-00
Entered: 2013-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Arthralgia, Disability, Fatigue, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1309GBR012812

Write-up: This case was identified as part of a phone call in program on a national television show during which GARDASIL vaccination was discussed on 20-Sep-2013, this case reported by the patients mother. This case is not medically confirmed. A female patient, who was 15 at the time of reporting, with a family history of cancer who previously danced competitively, played sports at school and was bright and healthy received GARDASIL vaccine, batch route and site not reported on an unreported date. An unreported time post vaccination, on an unreported date, it was as if a grenade had gone off in the patients body and she experienced muscle weakness, excruciating joint pain and was tired. The patient could only attend school for 2 hours per day, sometimes 5 hours a day. The patients mother stated that the patient was disabled and if she does not get better she will never be able to work or hold down a job. The patient had not recovered at the time of reporting.

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