National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 543451

Case Details

VAERS ID: 543451 (history)  
Form: Version 1.0  
Age: 10.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-09-12
Entered: 2014-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Headache, Muscular weakness, Viral infection, Walking aid user, Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 61 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1409COL005333

Write-up: This spontaneous report as received from a consumer reporting on 10 year old daughter. On an unknown date the patient was vaccinated with a third dose of GARDASIL 0.5 ml, intramuscular (lot # not reported). On an unknown date the patient experienced headache, legs weakness, strength loss and abdominal pain initially diagnosed as a virus infection. However the patient presented a new relapse and was hospitalized for two months (dates unspecified). The patient was discharged on a wheelchair, without medical opinion. By the time of the report the patient must have used crutches in the daily routines. The patient did not recover from headache, legs weakness, strength loss and. The outcome of abdominal pain and viral infection was unknown. Relatedness between all events and GARDASIL was not specified. Upon internal review all events were assessed as disabling. Additional information is not expected as no follow up was available.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166