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This is VAERS ID 607442

Case Details

VAERS ID: 607442 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2015-11-04
Entered: 2015-11-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abasia, Activities of daily living impaired, Fall, Fatigue, Immune system disorder, Impaired driving ability, Impaired work ability, Malaise, Quality of life decreased, Wheelchair user
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? 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: WAES1511USA002404

Write-up: This spontaneous report as received from a consumer''s mother via Sanofi Pasteur MSD refers to her daughter of unknown age. The reporter stated that her daughter was once a young healthy cheerleader. Beauty pageant queen, and a personal trainer. She loved life and was very active with a promising career ahead of her. On an unknown date, the patient was vaccinated with a dose of GARDASIL (dose, route, lot number and expiration date were not reported). There was no concomitant medication provided. On an unknown date, her health rapidly declined. She ended up in a wheelchair not able to walk for two years and her immune system was shot, so she got sick all of the time. She could not work, drive, or live a normal life. She fall all of the time and it was all that she could do to get a shower and eat without being exhausted. The primary reporter also stated that GARDASIL had ruined her daughter''s life. The outcome of abasia, malaise, fall, immune system disorder was unknown, and the outcome of impaired work ability and daily living impaired was not recovered as she still cannot live a normal life. The reporter considered abasia, activities of daily living impaired, impaired work ability, malaise, fall, fatigue and immune system disorder to be related to GARDASIL. Upon internal review, she was not able to walk for two years, impaired work ability and daily living impaired were determined to be serious due to disability. Additional information is not expected because the reporter details were not provided.

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