National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 529131

History of Changes from the VAERS Wayback Machine

First Appeared on 8/14/2014

529131
VAERS Form:
Age:15.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2013-05-01
Submitted:2014-04-23
Entered:2014-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Headache, Myalgia, Nuclear magnetic resonance imaging brain normal, Rash, Blood test normal, Computerised tomogram abdomen normal, Computerised tomogram thorax normal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test, unremarkable biologic exploration; Computerised tomogram, normal thoraco-abdominal scan; Nuclear magnetic resonance imaging brain, normal
CDC 'Split Type': WAES1404FRA011567

Write-up:Information has been received from Sanofi Pasteur MSD (E2014-03479) on 18-APR-2014. Case received from the Health Authorities on 16-Apr-2014 under the reference number MP20140253. A 15 year-old-female patient with no relevant medical history had received a first dose of GARDASIL (batch number not reported) via intramuscular route in March or April 2013. In May 2013, she developed headache, skin eruption, asthenia, arthralgia and myalgia which evolved. The patient received the second dose of GARDASIL (batch number not reported) via intramuscular route in July 2013. The causal link between the symptoms and vaccination was suggested since all the symptoms worsened following the second injection. The work-ups realised in December 2013 and February 2014 showed a normal brain MRI, normal thoraco-abdominal scan and a blood test with unremarkable biologic exploration. At the time of the report, the outcome was unknown. The Health Authorities assessed the causal relationship between the reported reactions and the vaccination as doubtful (C1 S2 I1) according to the method of assessment. It is noteworthy that the Health Authorities coded life-threatening and disability as seriousness criteria.


Changed on 9/14/2017

529131 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2013-05-01
Submitted:2014-04-23
Entered:2014-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Headache, Myalgia, Nuclear magnetic resonance imaging brain normal, Rash, Blood test normal, Computerised tomogram abdomen normal, Computerised tomogram thorax normal

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood test, unremarkable biologic exploration; Computerised tomogram, normal thoraco-abdominal scan; Nuclear magnetic resonance imaging brain, normal
CDC 'Split Type': WAES1404FRA011567

Write-up:Information has been received from Sanofi Pasteur MSD (E2014-03479) on 18-APR-2014. Case received from the Health Authorities on 16-Apr-2014 under the reference number MP20140253. A 15 year-old-female patient with no relevant medical history had received a first dose of GARDASIL (batch number not reported) via intramuscular route in March or April 2013. In May 2013, she developed headache, skin eruption, asthenia, arthralgia and myalgia which evolved. The patient received the second dose of GARDASIL (batch number not reported) via intramuscular route in July 2013. The causal link between the symptoms and vaccination was suggested since all the symptoms worsened following the second injection. The work-ups realised in December 2013 and February 2014 showed a normal brain MRI, normal thoraco-abdominal scan and a blood test with unremarkable biologic exploration. At the time of the report, the outcome was unknown. The Health Authorities assessed the causal relationship between the reported reactions and the vaccination as doubtful (C1 S2 I1) according to the method of assessment. It is noteworthy that the Health Authorities coded life-threatening and disability as seriousness criteria.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=529131&WAYBACKHISTORY=ON


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