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This is VAERS ID 581846

Case Details

VAERS ID: 581846 (history)  
Age: 13.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-06-15
Entered: 2015-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / SYR

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

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1506USA007636

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 was reported to be healthy. 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 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 disabling. This is one of the two reports from the same reporter. Additional information has been requested.


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