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This is VAERS ID 607445

Case Details

VAERS ID: 607445 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-11-05
Entered: 2015-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Multiple sclerosis
SMQs:, Optic nerve disorders (broad), Demyelination (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1511USA001864

Write-up: Information has been received from a physician via a company representative referring to a female patient in her 20''s. On an unknown date the patient was vaccinated with a dose of GARDASIL (dose and lot# were not reported). On an unknown date the patient experienced multiple sclerosis. The patient sought medical attention by seeing the physician. The outcome of multiple sclerosis was unknown. Causality was not reported. Upon reporter''s assessment and internal review, the event of multiple sclerosis was considered to be medically significant. Additional information is not expected because the physician would not like to be contacted.


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