National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 520691

History of Changes from the VAERS Wayback Machine

First Appeared on 5/16/2014

VAERS ID: 520691
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2013-10-01
Submitted:2014-01-24
Entered:2014-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Acute abdomen, Dyspnoea, Erythema nodosum, Leukocytosis, Thrombocytosis, Platelet count increased, Haemorrhagic ovarian cyst

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Platelet count (OCT2013) results: Increased (Thrombocytosis)
CDC 'Split Type': WAES1401SUR011247

Write-up:This spontaneous report as received from a physician refers to a 12 year old female patient. Medical history or concomitant conditions were not reported. On an unknown date, the patient was vaccinated with GARDASIL, 0.5 ml, (frequency reported as: day 1, 2 months after 1st dose, 6 months after 1st. dose), intramuscular (dose was not reported). Concomitant therapy was not reported. In October 2013, the patient was hospitalized due to erythema nodosum, thrombocytosis, leukocytosis and dyspnoea. It was reported that hospitalization was prolonged. On an unknown date, the patient experienced acute abdomen because of bleeding in adnexa cyst which required an emergency room (ER) visit and went to operation room. Leukocyte count was 100 x 10g/L. The outcome of erythema nodosum, thrombocytosis, leukocytosis and dyspnoea was reported as not recovered/not resolved. The outcome of acute abdomen because of bleeding in adnexa cyst was unknown. The reporting physician considered erythema nodosum, thrombocytosis, leukocytosis and dyspnoea as life-threatening and disabling events. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 520691 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2013-10-01
Submitted:2014-01-24
Entered:2014-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Acute abdomen, Dyspnoea, Erythema nodosum, Leukocytosis, Thrombocytosis, Platelet count increased, Haemorrhagic ovarian cyst

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Platelet count (OCT2013) results: Increased (Thrombocytosis)
CDC 'Split Type': WAES1401SUR011247

Write-up:This spontaneous report as received from a physician refers to a 12 year old female patient. Medical history or concomitant conditions were not reported. On an unknown date, the patient was vaccinated with GARDASIL, 0.5 ml, (frequency reported as: day 1, 2 months after 1st dose, 6 months after 1st. dose), intramuscular (dose was not reported). Concomitant therapy was not reported. In October 2013, the patient was hospitalized due to erythema nodosum, thrombocytosis, leukocytosis and dyspnoea. It was reported that hospitalization was prolonged. On an unknown date, the patient experienced acute abdomen because of bleeding in adnexa cyst which required an emergency room (ER) visit and went to operation room. Leukocyte count was 100 x 10g/L. The outcome of erythema nodosum, thrombocytosis, leukocytosis and dyspnoea was reported as not recovered/not resolved. The outcome of acute abdomen because of bleeding in adnexa cyst was unknown. The reporting physician considered erythema nodosum, thrombocytosis, leukocytosis and dyspnoea as life-threatening and disabling events. Additional information is not expected.


Changed on 3/14/2015

VAERS ID: 520691 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2013-10-01
Submitted:2014-01-24
Entered:2014-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Acute abdomen, Dyspnoea, Erythema nodosum, Leukocytosis, Thrombocytosis, Platelet count increased, Haemorrhagic ovarian cyst

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Platelet count (OCT2013) results: Increased (Thrombocytosis)
CDC 'Split Type': WAES1401SUR011247

Write-up:This spontaneous report as received from a physician refers to a 12 year old female patient. Medical history or concomitant conditions were not reported. On an unknown date, the patient was vaccinated with GARDASIL, 0.5 ml, (frequency reported as: day 1, 2 months after 1st dose, 6 months after 1st. dose), intramuscular (dose was not reported). Concomitant therapy was not reported. In October 2013, the patient was hospitalized due to erythema nodosum, thrombocytosis, leukocytosis and dyspnoea. It was reported that hospitalization was prolonged. On an unknown date, the patient experienced acute abdomen because of bleeding in adnexa cyst which required an emergency room (ER) visit and went to operation room. Leukocyte count was 100 x 10g/L. The outcome of erythema nodosum, thrombocytosis, leukocytosis and dyspnoea was reported as not recovered/not resolved. The outcome of acute abdomen because of bleeding in adnexa cyst was unknown. The reporting physician considered erythema nodosum, thrombocytosis, leukocytosis and dyspnoea as life-threatening and disabling events. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=520691&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166