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This is VAERS ID 517691

Case Details

VAERS ID: 517691 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2013-12-26
Entered: 2013-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Systemic lupus erythematosus
SMQs:, Systemic lupus erythematosus (narrow)

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1312FRA010586

Write-up: Information has been received from SPMSD (FR-1577272925-E2013-11083) on 20-DEC-2013. Case received via a media press article and from a lawyer on 17-DEC-2013. Case linked with serious cases E2013-11075, E 2013-11084, E2013-11086 and E2013-11087. Within the context of 9 complaints filling concerning the occurrence of adverse events following vaccination with GARDASIL (information mentioned in the media press), it was reported by the complainants'' lawyer, via the media press, that in the weeks or months following vaccination with GARDASIL (batch numbers not reported), a female patient presented with a very disabling lupus (coded as systemic lupus erythematosis as no further information was available). The patient was aged between 18 and 24 years, or approximately 40. At the time of reporting, the outcome was unknown. No further information was available which could enable a duplicate search of the case.


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