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This is VAERS ID 533620

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2014

533620
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2014-06-12
Entered:2014-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J007240 / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Dizziness, Headache, Pyrexia, Somnolence, Vomiting, Wheelchair user

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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:
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.


Changed on 9/14/2017

533620 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2014-06-12
Entered:2014-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J007240 / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Dizziness, Headache, Pyrexia, Somnolence, Vomiting, Wheelchair user

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=533620&WAYBACKHISTORY=ON


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