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This is VAERS ID 545839

Case Details

VAERS ID: 545839 (history)  
Age:   
Gender: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2014-09-30
Entered: 2014-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Fatigue; Depression; Anxiety
Preexisting Conditions: Fibromyalgia; Irritable bowel syndrome
Diagnostic Lab Data:
CDC Split Type: WAES1409AUS013872

Write-up: Information has been received from a physician via CSL (Manufacturer number # unknown) via company representative referring to a male patient of unknown age. The patient''s current condition includes anxiety, chronic fatigue and depression. The patient''s medical history included irritable bowel and fibromyalgia. On an unknown date the patient was vaccinated with 2 injections of GARDASIL, intramuscular (dose not reported). No other concomitant therapies reported. On an unknown date the patient claimed that the vaccine has disabled him (disability) and stated that the patient should have been warned of the possibility. It was reported that the patient also mentioned litigation. The outcome of disabled was unknown. The causality of the event was unspecified. Additional information is not expected.


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