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This is VAERS ID 506668

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

506668
VAERS Form:
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-10-01
Submitted:2013-10-09
Entered:2013-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Activities of daily living impaired

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1310GBR002905

Write-up:This case was received from the health authority on 27-Sep-2013. GB-MHRA-ADR 22251540. This case is not medically confirmed as it was reported by a consumer. A 14-year-old female patient (weight 53 kg), with no reported medical history, received on an unreported date an injection of human papilloma virus vaccine (mfr unknown; batch n., route, dose, dose in series and site of administration not reported) and in Oct-2009 she developed chronic fatigue syndrome. On an unreported date she also experienced activities of daily living impaired. She was unable to attend school or carry on normal life. At the time of reporting the patient had not recovered. The agency considered this case to be serious due to disability/incapacity and as an other medically important condition.


Changed on 6/14/2014

506668 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-10-01
Submitted:2013-10-09
Entered:2013-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Activities of daily living impaired

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1310GBR002905

Write-up:This case was received from the health authority on 27-Sep-2013. GB-MHRA-ADR 22251540. This case is not medically confirmed as it was reported by a consumer. A 14-year-old female patient (weight 53 kg), with no reported medical history, received on an unreported date an injection of human papilloma virus vaccine (mfr unknown; batch n., route, dose, dose in series and site of administration not reported) and in Oct-2009 she developed chronic fatigue syndrome. On an unreported date she also experienced activities of daily living impaired. She was unable to attend school or carry on normal life. At the time of reporting the patient had not recovered. The agency considered this case to be serious due to disability/incapacity and as an other medically important condition.


Changed on 3/14/2015

506668 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-10-01
Submitted:2013-10-09
Entered:2013-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Activities of daily living impaired

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1310GBR002905

Write-up:This case was received from the health authority on 27-Sep-2013. GB-MHRA-ADR 22251540. This case is not medically confirmed as it was reported by a consumer. A 14-year-old female patient (weight 53 kg), with no reported medical history, received on an unreported date an injection of human papilloma virus vaccine (mfr unknown; batch n., route, dose, dose in series and site of administration not reported) and in Oct-2009 she developed chronic fatigue syndrome. On an unreported date she also experienced activities of daily living impaired. She was unable to attend school or carry on normal life. At the time of reporting the patient had not recovered. The agency considered this case to be serious due to disability/incapacity and as an other medically important condition.


Changed on 9/14/2017

506668 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-10-01
Submitted:2013-10-09
Entered:2013-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chronic fatigue syndrome, Activities of daily living impaired

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1310GBR002905

Write-up:This case was received from the health authority on 27-Sep-2013. GB-MHRA-ADR 22251540. This case is not medically confirmed as it was reported by a consumer. A 14-year-old female patient (weight 53 kg), with no reported medical history, received on an unreported date an injection of human papilloma virus vaccine (mfr unknown; batch n., route, dose, dose in series and site of administration not reported) and in Oct-2009 she developed chronic fatigue syndrome. On an unreported date she also experienced activities of daily living impaired. She was unable to attend school or carry on normal life. At the time of reporting the patient had not recovered. The agency considered this case to be serious due to disability/incapacity and as an other medically important condition.


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