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This is VAERS ID 618774

Case Details

VAERS ID: 618774 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2015-11-18
Entered: 2015-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Malaise, Wheelchair user
SMQs:

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: Wheelchair user
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1511NZL008874

Write-up: Information has been received from an unspecified reporter via webpage article and refer to a female patient of unknown age. No information about the patient''s medical history, concurrent conditions or concomitant medications was provided. On an unknown date, the patients was vaccinated with GARDASIL (dose, frequency, route of administration, lot # and expiration date were not reported). On an unknown date, the patient experienced an illness no otherwise specified, NOS and was in the wheelchair. The outcomes of the event was not reported. The relatedness between the event and GARDASIL was not specified by the reporter. The Company considered all the events to be serious. Upon internal review the event of illness was considered to be disabling. This is one of several reports from the same source. Additional information is expected.


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