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This is VAERS ID 528794

Case Details

VAERS ID: 528794 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Foreign  
Vaccinated:2013-12-01
Onset:2014-01-01
   Days after vaccination:31
Submitted: 2014-04-18
   Days after onset:106
Entered: 2014-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Allodynia, Blood test normal, Fatigue, Fibromyalgia, Insomnia, Myalgia, Neck pain, Pain, Pain in extremity, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: On an unknown date, the patient current condition was described as healthy by the physician. On an unknown date, unspecified blood tests with a result normal. On an unknown date, 18 tender point positive for fibromyalgia (units). On an unknown date, infection, inflammation or autoimmune disease were ruled out.
CDC Split Type: WAES1404MEX009808

Write-up: This spontaneous report as received from a physician refers to a 14 year old female patient. According to the physician, the patient does not have any trauma, anxiety or depression history, she lives in a harmonious home. The patient''s current condition reported as "described as healthy by the physician". On an unknown date, the patient received the first of a GARDASIL. On an unknown date, approximately in December 2013, the patient was vaccinated with the second dose of a GARDASIL 0.5 ml (lot# not available). On an unknown date, approximately in January 2014, a month after receiving the second dose, the patient experienced intense cervical pain that few weeks later was extended to arms and legs and in addition developed paresthesia in her 4 extremities and insomnia and fatigue (both approximately in 2014). The patient''s symptoms prevented her to go to school. On an unknown date, a physical examination was performed; it showed a desperate adolescent because of the pain and paresthesia. According to the physician, there was an evident generalised allodynia accompanied by the 18 tender points positive for fibromyalgia. Any infection, inflammation or autoimmune disease were ruled out as cause of her symptoms. At the time of the report, three months have passed and the patient continued experiencing generalised pain and paresthesia that have disabled her. According to the reporter, the probable diagnosis was syndrome like fibromyalgia that appeared a month later (approximately in January 2014) of vaccination with GARDASIL. The outcome of paresthesia and fibromyalgia was reported as not recovered/not resolved. The outcome of generalised allodynia, fatigue and insomnia was unknown. Reporting physician considered paresthesia in all extremities and generalised pain disabling. This case is now of two from the same source reports. Additional information has been requested.


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