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This is VAERS ID 533620

Case Details

VAERS ID: 533620 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-06-12
Entered: 2014-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Chills, Dizziness, Headache, Pyrexia, Somnolence, Vomiting, Wheelchair user
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
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: WAES1406GBR005805

Write-up: Information has been received from Sanofi Pasteur (manufacturer control # GB-1577272925-E2014-05052) on 10-JUN-2014. Serious case received from the MHRA under reference GB MHRA ADR 22553964 on 4-Jun-2014. This case is not medically confirmed as the reporter was a consumer. A 13-year-old male patient (50/80 kg), with no medical history and concomitant medication reported, received an injection of GARDASIL (batch number J007240), series site and route not reported, on unreported date. On 24-May-2014, the patient experienced vomiting, pains in joints, fever, chills, dizzy and headache. On unreported date, the patient experienced sleep symptoms. The pain was so bad that the wheelchair was used for the afternoon. After 16 hours of sleep the symptoms disappeared. The patient recovered from all the events except "sleep symptoms" on 25-May-2014. Duration was reported as 1 day. At the time of the reporting the outcome was reported as recovered for all events. The MHRA considered the case serious for disability and other medically significant reasons.

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