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This is VAERS ID 542595

Case Details

VAERS ID: 542595 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-09-05
Entered: 2014-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abasia, Movement disorder, Muscular weakness, Pyrexia, Skin discolouration, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1409COL000608

Write-up: This spontaneous report as received from a consumer (also reported as father) refers to a 15 year old female patient. On an unknown date in 2013 the patient was vaccinated with a dose of GARDASIL, (strength 0.5 ml), (lot number and expiry date unknown) intramuscularly. No concomitant medications were reported. On an unknown date patient felt that the legs do not respond, experienced fever, vomiting, purple spots on the skin, could not give a step because the legs did not respond her. Doctor said that the presence of the child at the hospital was given by a picture of muscle weakness. The outcome of events was unknown. Action taken was reported as unknown. Causality was unknown. Additional information is not expected.

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