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This is VAERS ID 507449

Case Details

VAERS ID: 507449 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:2013-02-09
Submitted: 2013-10-14
   Days after onset:246
Entered: 2013-10-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / SYR

Administered by: Other       Purchased by: Other
Symptoms: Type 1 diabetes mellitus
SMQs:, Hyperglycaemia/new onset diabetes mellitus (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1310GBR005165

Write-up: This case was received from the health authority on 04-Oct-2013. GB-MHRA-ADR 22256326. This case is not medically confirmed as it was reported by a consumer. A 12-year-old female patient (weight: 31 kg), with no reported medical history, received on an unreported date an injection of GARDASIL, (batch n. not reported), route, dose in series and site of administration not reported) and on 09-Feb-2013 she experienced type 1 diabetes mellitus. It was unknown if the reaction was treated. However, it was reported that concomitant medication included insulin. At the time of reporting the patient had not recovered. The MHRA considered this case to be serious due to disability, hospitalisation and as a life threatening condition.


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