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This is VAERS ID 619758

Case Details

VAERS ID: 619758 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Foreign  
Submitted: 2015-12-24
Entered: 2015-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Dyspnoea, Dysuria, Eczema, Fatigue, Headache, Increased tendency to bruise, Muscle spasms, Muscular weakness, Myalgia, Orthostatic intolerance, Tilt table test normal
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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: HPV immunisation
Preexisting Conditions:
Diagnostic Lab Data: A tilt-table test shows no POTS.
CDC Split Type: WAES1512DNK011279

Write-up: Information has been received from Sanofi Pasteur MSD (reference # DK-1577272925-2015001193) on 21-DEC-2015. Muscle pain. Abdominal pain. Fatigue extreme. Headache. Joint pain. Muscle spasms. Orthostatic intolerance. Voiding difficulty. Eczema. Dyspnea. Muscle weakness. Case received from a physician on 17-Dec-2015. A female adolescent patient of unknown age received GARDASIL, (batch/lot number, expiration date unknown) via intramuscular route on 15-Dec-2008. Other suspect products included: GARDASIL, (batch/lot number, expiration date unknown, Dose 2) administered via intramuscular route on 11-Feb-2009; GARDASIL, (batch/lot number, expiration date unknown, Dose 3) administered via intramuscular route on 16-Jun-2009. The patient experienced Muscle pain on an unknown date, Abdominal pain on an unknown date, Fatigue extreme on an unknown date, Headache on an unknown date, Joint pain on an unknown date, Muscle spasms on an unknown date, Orthostatic intolerance on an unknown date, Voiding difficulty on an unknown date, Eczema on an unknown date, Dyspnea on an unknown date, Bruises easily on an unknown date, Muscle weakness on an unknown date. Additional investigations included Tilt Table Test no POTS n/a on an unknown date. The reporter has difficulty to decide the temporal connection between vaccination and start of symptoms. The patient informs abdominal pain is the first symptom she experienced and also the one symptom that she is most troubled by. Maybe symptom start in 2011.

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