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This is VAERS ID 592257

Case Details

VAERS ID: 592257 (history)  
Form: Version 1.0  
Gender: Female  
Location: Pennsylvania  
Submitted: 2015-08-31
Entered: 2015-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Asthenia, Muscle atrophy
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (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: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1508USA011202

Write-up: Information has been received from a physician via company representative referring to a female patient of unknown age. The patient''s pertinent medical history and drug allergies were not reported. On an unknown date the patient was vaccinated with a dose of GARDASIL (lot#, expiration date, dose, strength and route unknown). On an unknown date after the vaccination the patient experienced muscle atrophy. The field representative did not know whether the patient received GARDASIL or GARDASIL 9 therefore the event was being taken for GARDASIL. The field representative also reported that the physician said it was debilitating and that the patient used to be a swimmer, and he/she guessed the patient didn''t or couldn''t swim anymore so the field representative would consider that there was significant disability/incapacity. The outcome of the event was unknown. The reporter considered muscle atrophy was attributed to GARDASIL. Additional information is not expected as the physician refused to be contacted.

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