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This is VAERS ID 529645

Case Details

VAERS ID: 529645 (history)  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2013-08-08
Onset:2013-11-08
   Days after vaccination:92
Submitted: 2014-04-29
   Days after onset:171
Entered: 2014-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U4611AA / 0 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal discomfort, Activities of daily living impaired, Adverse drug reaction, Computerised tomogram head normal, Diplopia, Disturbance in attention, Dizziness, Electrocardiogram abnormal, Fatigue, Hyperacusis, Hyperthyroidism, Hypotension, Malaise, Migraine, Nausea, Neck pain, Photophobia, Polymenorrhoea, Premature menopause, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Hyperthyroidism (narrow), Depression (excl suicide and self injury) (broad), Hearing impairment (narrow), Vestibular disorders (broad), Ocular motility disorders (broad), Fertility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ALLEGRA
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: 11/2013, Computerised tomogram head, Normal; Electrocardiogram, Normal; 11/2013, Electrocardiogram, Irregular
CDC Split Type: WAES1404USA014544

Write-up: This spontaneous report as received from a consumer (mother of the patient) refers to a 15 year old female patient. Patient''s medical history and concurrent conditions was not reported. On 08-AUG-2013 the patient was vaccinated with GARDASIL (reported as GARDASIL INJ 120 Y) Strength 120MCG, dose 1. Concomitant therapies included ALLEGRA. On an unknown date in November 2012 the patient experienced migraine headaches. On an unknown date the patient experienced chronic fatigue, is missing a lot of school due to her not feeling well (disability), is having difficulty in school and her grades are dropping, can''t focus, is sensitive to light and noise, nauseous, feels dizzy, has her period every 2 weeks, low blood pressure, fainted, vision problems (double vision), and neck pain. The reporter stated that her daughter''s migraine headaches started on an unspecified date in November 2013 and lasted for 4 days. The patient had a second migraine headache in February 2014. The reporter also stated that the patient was a swimmer and used to swim 4 hours per day and was in good health prior to receiving GARDASIL. The reporter stated that the patient had fainted and had an irregular EKG after fainting. The patient''s second EKG was normal. It was reported that in November 2013 the CT of Brain done by the neurologist was normal. The patient was treated for the adverse events with cyproheptadine and Ondansetron. The outcome of the events was unknown. The reporter''s causality assessment was not provided. The patient developed severe stomach problems, hyperthyroidism and early menopause after taking VIOXX (MARRS ID 1404USA014704). Additional information has been requested.


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