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This is VAERS ID 510261

Case Details

VAERS ID: 510261 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:4
Submitted: 2013-10-29
   Days after onset:46
Entered: 2013-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Joint dislocation, Weight bearing difficulty
SMQs:, Accidents and injuries (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation; Coeliac disease
Preexisting Conditions: Anisometropia
Diagnostic Lab Data:
CDC Split Type: WAES1310GBR011849

Write-up: This case was received from the health authority on 22-Oct-2013. GB-MHRA-ADR 22280257. This case is medically confirmed. A 12 year old female patient (weight: 28 kg), with a medical history of anisometropia and a continuing coeliac disease, received on 09-Sep-2013 an injection of GARDASIL (batch/lot number H019078, expiration date 30-JUN-2015), 0.5 mL intramuscularly, dose in series and site of administration not reported. On 13-Sep-2013, the patient experienced increasing pain in left hip, internal/external rotation and was unable to be fully bear weight. The patient was admitted to hospital and orthopaedics. At the time of reporting, the patient has not recovered from all the adverse events. The MHRA considered that case serious due to the patient''s disability and to patient''s hospitalization.

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