![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
First Appeared on 1/14/2015 |
VAERS ID: | 542161 |
VAERS Form: | |
Age: | |
Gender: | Female |
Location: | Foreign |
Vaccinated: | 2012-05-01 |
Onset: | 2013-05-10 |
Submitted: | 2014-09-02 |
Entered: | 2014-09-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | UN / IM |
Administered by: Other Purchased by: Other
Symptoms: Insomnia, Pain in extremity, Abasia, Limb injury
Life Threatening? No
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: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1409BRS000484
Write-up: This spontaneous report as received from a physician through a company representative concerning a female patient of unknown age with contraception. In May-2012 the patient was vaccinated with GARDASIL dose 1, .5 ml, intramuscular when the patient used to live abroad. In July 2012 the patient experienced left leg pain. In MAY-2013 the patient experienced can''t walk and can''t sleep. Subsequently, the patient had to come back. On an unknown date the patient experienced twisted foot due to pain. The outcome of can''t walk, twisted foot, can''t sleep and left leg pain (grade 9 to 10) was reported as not recovered/not resolved. The relatedness of patient''s adverse events were not reported. Additional information is not expected. No contact available for follow up.
Vaccinated: | 2012-05-01 |
Onset: | 2013-05-10 |
Submitted: | 2014-09-02 |
Entered: | 2014-09-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 1 | UN / IM |
Administered by: Other Purchased by: Other
Symptoms: Insomnia, Pain in extremity, Abasia, Limb injury
Life Threatening? No
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: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1409BRS000484
Write-up: This spontaneous report as received from a physician through a company representative concerning a female patient of unknown age with contraception. In May-2012 the patient was vaccinated with GARDASIL dose 1, .5 ml, intramuscular when the patient used to live abroad. In July 2012 the patient experienced left leg pain. In MAY-2013 the patient experienced can''t walk and can''t sleep. Subsequently, the patient had to come back. On an unknown date the patient experienced twisted foot due to pain. The outcome of can''t walk, twisted foot, can''t sleep and left leg pain (grade 9 to 10) was reported as not recovered/not resolved. The relatedness of patient''s adverse events were not reported. Additional information is not expected. No contact available for follow up.
Vaccinated: | 2012-05-01 |
Onset: | 2013-05-10 |
Submitted: | 2014-09-02 |
Entered: | 2014-09-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | UN / IM |
Administered by: Other Purchased by: Other
Symptoms: Insomnia, Pain in extremity, Abasia, Limb injury
Life Threatening? No
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: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1409BRS000484
Write-up: This spontaneous report as received from a physician through a company representative concerning a female patient of unknown age with contraception. In May-2012 the patient was vaccinated with GARDASIL dose 1, .5 ml, intramuscular when the patient used to live abroad. In July 2012 the patient experienced left leg pain. In MAY-2013 the patient experienced can''t walk and can''t sleep. Subsequently, the patient had to come back. On an unknown date the patient experienced twisted foot due to pain. The outcome of can''t walk, twisted foot, can''t sleep and left leg pain (grade 9 to 10) was reported as not recovered/not resolved. The relatedness of patient''s adverse events were not reported. Additional information is not expected. No contact available for follow up.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=542161&WAYBACKHISTORY=ON
Copyright ©
2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166