National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 581844

Case Details

VAERS ID: 581844 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Unknown  
Submitted: 2015-06-15
Entered: 2015-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Incomplete course of vaccination, Pain
SMQs:, Medication errors (narrow)

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: Metal poisoning
Diagnostic Lab Data:
CDC Split Type: WAES1506USA006629

Write-up: This spontaneous report was received from a consumer as part of a Market Research Program refers to one of her daughter''s friend a 13 year old female patient. The patient''s medical history included lead poisoning as a child. On an unknown date in 2000, the patient was vaccinated with GARDASIL (route and lot# were not reported) dose 1. On an unknown date in 2000, the patient experienced pain lasting a week and the patient was in bed for a week after GARDASIL injection. None of her other friends choose to take GARDASIL because of stated events. Action taken was reported as interrupted as the patient did not receive the second dose. On an unknown date in 2000, the patient recovered. The reporter considered pain to be related to GARDASIL. The reporter considered the seriousness of the event pain lasting a week and the patient in bed for a week to be disability. This is one of the two reports from the same reporter. Additional information has been requested.

New Search

Link To This Search Result:

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