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This is VAERS ID 619740

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2017

619740
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-24
Entered:2015-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Chest discomfort, Dizziness, Dysuria, Fatigue, Food allergy, Headache, Influenza, Menstruation irregular, Muscular weakness, Nausea, Skin disorder, Impaired work ability, Cognitive disorder, Disturbance in social behaviour, Food intolerance, Loss of personal independence in daily activities

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: HPV immunisation
Preexisting Conditions: Antidepressant therapy, Antidepressants throughout many years before the vaccines
Allergies:
Diagnostic Lab Data: Have examinations and/or laboratory tests been performed: unknown
CDC 'Split Type': WAES1512DNK011992

Write-up:Information has been received from Sanofi Pasteur MSD (reference No. DK-1577272925-2015001271 as part of a business agreement on 22-DEC-2015. Case received from a physician via HA on 18-Dec-2015 under the reference number DK-DKMA-ADR 23278731 and DK-DKMA-WBS-0002043. A 17-year-old female adolescent patient received GARDASIL, (batch/lot number and expiration date were unknown, Dose 1) via intramuscular route on 09-Sep-2008, GARDASIL, (batch/lot number and expiration date were unknown, Dose 2) via intramuscular route on 18-NOV-2008, GARDASIL, (batch/lot number and expiration date were unknown, Dose 3) via intramuscular route on 29-Apr-2009. The patient experienced Food intolerance / Allergy and sensitivity against food items in 2008, Headache on an unknown date, Dizziness on an unknown date, Chest tightness on an unknown date, Nausea on an unknown date, Abdominal pain on an unknown date, Voiding difficulty on an unknown date, Skin disorder on an unknown date, Irregular menstrual cycle on an unknown date, Fatigue on an unknown date, Cognitive disorder on an unknown date, limb weakness on an unknown date, Frequent flu on an unknown date, cannot manage the social life on an unknown date and cannot manage education/work on an unknown date. The patient describes that she developed the following symptoms after GARDASIL vaccines. Allergy and sensitivity against food items - she has been hospitalized. Subsequently, the other reported symptoms developed. Sick absence for 1/2 years - cannot manage education/work or the social life. Antidepressants throughout many years before the vaccines. Unknown whether there are other vaccines or medications. The patient was admitted to hospital on an unspecified date. The patient had a medical history of Antidepressant therapy. The patient''s outcome was reported as Not Recovered/Not Resolved.


Changed on 9/14/2017

619740 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2015-12-24
Entered:2015-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Chest discomfort, Dizziness, Dysuria, Fatigue, Food allergy, Headache, Influenza, Menstruation irregular, Muscular weakness, Nausea, Skin disorder, Impaired work ability, Cognitive disorder, Disturbance in social behaviour, Food intolerance, Loss of personal independence in daily activities

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: HPV immunisation
Preexisting Conditions: Antidepressant therapy, Antidepressants throughout many years before the vaccines
Allergies:
Diagnostic Lab Data: Have examinations and/or laboratory tests been performed: unknown
CDC 'Split Type': WAES1512DNK011992

Write-up:Information has been received from Sanofi Pasteur MSD (reference No. DK-1577272925-2015001271 as part of a business agreement on 22-DEC-2015. Case received from a physician via HA on 18-Dec-2015 under the reference number DK-DKMA-ADR 23278731 and DK-DKMA-WBS-0002043. A 17-year-old female adolescent patient received GARDASIL, (batch/lot number and expiration date were unknown, Dose 1) via intramuscular route on 09-Sep-2008, GARDASIL, (batch/lot number and expiration date were unknown, Dose 2) via intramuscular route on 18-NOV-2008, GARDASIL, (batch/lot number and expiration date were unknown, Dose 3) via intramuscular route on 29-Apr-2009. The patient experienced Food intolerance / Allergy and sensitivity against food items in 2008, Headache on an unknown date, Dizziness on an unknown date, Chest tightness on an unknown date, Nausea on an unknown date, Abdominal pain on an unknown date, Voiding difficulty on an unknown date, Skin disorder on an unknown date, Irregular menstrual cycle on an unknown date, Fatigue on an unknown date, Cognitive disorder on an unknown date, limb weakness on an unknown date, Frequent flu on an unknown date, cannot manage the social life on an unknown date and cannot manage education/work on an unknown date. The patient describes that she developed the following symptoms after GARDASIL vaccines. Allergy and sensitivity against food items - she has been hospitalized. Subsequently, the other reported symptoms developed. Sick absence for 1/2 years - cannot manage education/work or the social life. Antidepressants throughout many years before the vaccines. Unknown whether there are other vaccines or medications. The patient was admitted to hospital on an unspecified date. The patient had a medical history of Antidepressant therapy. The patient''s outcome was reported as Not Recovered/Not Resolved.


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