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This is VAERS ID 523222

Case Details

VAERS ID: 523222 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
Vaccinated:2013-11-12
Onset:2013-12-06
   Days after vaccination:24
Submitted: 2014-02-20
   Days after onset:76
Entered: 2014-02-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J005626 / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Chronic fatigue syndrome, Dysphonia, Lethargy, Oropharyngeal pain, Post viral fatigue syndrome
SMQs:, Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation; Food allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1402GBR009070

Write-up: Information has been received from SPMSD (manufacturer control number E2014-01379) on 18-FEB-2014. This case was received from health authority in a foreign country on 13-FEB-2014. GB-MHRA ADR 22414463. The case is medically confirmed. A 13 year old female patient, with medical history of allergy to nuts, received an injection of GARDASIL, (batch number J005626) 0.5 mL intramuscularly, dose in series and site of administration not reported, on 12-NOV-2013. On 06-DEC-2013, the patient developed sore throat, hoarse voice and lethargy with symptoms worsening, following vaccination. The patient was unable to attend school full time and was experiencing prolonged periods of lethargy. General practitioner has diagnosed chronic fatigue syndrome and myalgic encephalopathy which started on 06-DEC-2013, and referred to paediatricians for further investigation and management. At the time of reporting, the patient has not recovered from all the adverse events. The regulatory authority considered that case serious due to the patient''s disability.


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