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This is VAERS ID 528673

History of Changes from the VAERS Wayback Machine

First Appeared on 8/14/2014

VAERS ID: 528673
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2014-04-17
Entered:2014-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J007399 / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Malaise, Mydriasis, Vomiting

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1404GBR009756

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (Manufacturer control number E2014-03331) on 15-APR-2014. This case was received from health authority on 10-Apr-2014. GB-MHRA ADR 22488410. The case is medically confirmed. A 12 year old female patient, with no medical history reported, received an injection of GARDASIL (batch number and lot # J007399 and expiry date 29-FEB-2016) intramuscularly, dose in series and site of administration not reported, on an unreported date and on unreported dates after vaccination, the patient experienced huge pupils for over 24 hours, she felt very unwell for 48 hours and had vomited 3 times. At the time of reporting, the patient has recovered from all the adverse events. The regulatory authority considered that case serious due to the patient''s disability.


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