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This is VAERS ID 557452

Case Details

VAERS ID: 557452 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Submitted: 2014-11-11
Entered: 2014-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J010308 / 1 LA / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Apathy, Blood heavy metal increased, Blood immunoglobulin M increased, Body temperature increased, Chills, Fall, Fatigue, Fear, Feeling of body temperature change, Infection, Muscle twitching, Palpitations, Restless legs syndrome
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: IgM increased; Aluminum increased; Body temperature 37.8-38.2C
CDC Split Type: WAES1411DEU003824

Write-up: Case was received from a consumer on 05-NOV-2014 from manufacturer (reference # DE-1577272925-E2014-10516) on 07-NOV-2014. Case is not medically confirmed. This case is linked with E2014-10519 (same reporter, same product, similar reaction). A 12-year-old female patient received a first dose of GARDASIL, lot-no J010308, expiration date 30-NOV-2014)into the left upper arm on an unspecified date in Spring 2014. Immediately p.v. she "fell over". She was stabilized and recovered. Unspecified time later she developed heart racing, muscle twitching of left arm and leg, chills sporadically, severe exhaustion and she felt warm and cold intermittently, all lasting for 9 weeks. 2-3 weeks p.v she developed subfebrile temperatures between 37.8-38.2 C lasting for 8 weeks. Due to massive exhaustion the patient could not manage her homework without help, could not do sports and missed 40 days of school. She suffered from lack in drive and had existential fear. Blood sample (taken on an unspecified date) revealed increased lgM. Suspected infection was treated with antibiotics, but symptoms did not improve. She then presented to an osteopathic clinic. MELISA test (Memory Lymphocyte Immuno-Stimulation Assay) showed increased values for aluminum. Detoxication with drops on algae basis was performed and she was treated with intravenously with high-dosed Vitamin C and Glutathione which lead to heart racing again and "restless leg symptoms". At the time of reporting she had recovered but was still unable to do sports. Previous unspecified vaccinations were well tolerated. The company assessed the case as serious due to the fact, that the patient missed school for 40 days, because of the event ("disability").

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