National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 619709

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2017

VAERS ID: 619709
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2012-05-01
Onset:2012-07-01
Submitted:2015-12-23
Entered:2015-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Sleep disorder, Syncope, Weight decreased, Weight increased, Orthostatic intolerance, Tilt table test positive

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Human papilloma virus immunisation
Preexisting Conditions:
Diagnostic Lab Data: Test examinations: During tilt table test orthostatic intolerance, but do not fulfill the criteria for Postural Orthostatic Tachycardia Syndrome (POTS).
CDC 'Split Type': WAES1512DNK010833

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (manufacturer control # DK-1577272925-2015001177) on 21-DEC-2015. Case received from a physician via health authority on 17-Dec-2015 under reference number DK-DKMA-WBS-0002100. A 12-year-old female adolescent patient received GARDASIL, batch number unknown via intramuscular route in May-2012. The patient experienced Joint pain in JUL-2012, Weight - gaining and then loosing in JUL-2012, Syncope on an unknown date, Abdominal pain on an unknown date and Sleep disorder on an unknown date. The patient had received previously two doses of GARDASIL (not reported dates). Onset after third dose (May 2012) approx. 2 months after administration. She describes that she had developed joint pain and that her weight is unstable she gain and she loose. After the other reactions. She does not remember the dates of the first 2 doses. Additional investigations included Tilt Table Test orthostatic intolerance on an unknown date. The patient''s outcome was reported as Not Recovered/Not Resolved.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=619709&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166