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This is VAERS ID 555437

Case Details

VAERS ID: 555437 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-11-05
Entered: 2014-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K002850 / 2 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Muscular weakness, Seizure, Wheelchair user
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions: GARDASIL, Immunisation, D1
Diagnostic Lab Data:
CDC Split Type: WAES1410DEU016688

Write-up: Case was received from a physician via a company representative on 29-Oct-2014 from Sanofi Pasteur (reference # DE-1577272925-E2014-10163) on 30-OCT-2014. Case is medically confirmed and poorly documented. A 14-year-old female patient received a second dose of GARDASIL (lot-no. not reported) on an unspecified date in 2014. Fourteen days later she developed convulsions and weakness of her legs leading to the need of a wheelchair. At the time of reporting the patient was treated in a rehabilitation centre. At the time of reporting the patient had not recovered. First dose of GARDASIL was given on an unspecified date. Toleration was not reported.

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