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This is VAERS ID 535601

Case Details

VAERS ID: 535601 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-07-01
Entered: 2014-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Disability
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1406BRA014042

Write-up: This spontaneous report as received from a company representative, who has a friend which mother heard from a priest the following case, refers to a female patient of unknown age. On an unknown date the patient was vaccinated with GARDASIL, 0.5 ml, intramuscular. On an unknown date the patient experienced crippled (disability). The outcome of crippled was reported as not recovered/not resolved. Additional information is not expected because the Company Representative did not have the contact of the primary reporter.


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