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This is VAERS ID 510261

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

VAERS ID: 510261
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-09-09
Onset:2013-09-13
Submitted:2013-10-29
Entered:2013-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H019078 / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Joint dislocation, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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.


Changed on 6/14/2014

VAERS ID: 510261 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-09-09
Onset:2013-09-13
Submitted:2013-10-29
Entered:2013-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H019078 / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Joint dislocation, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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.


Changed on 3/14/2015

VAERS ID: 510261 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-09-09
Onset:2013-09-13
Submitted:2013-10-29
Entered:2013-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H019078 / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Joint dislocation, Weight bearing difficulty

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=510261&WAYBACKHISTORY=ON


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