National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 619870

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2017

VAERS ID: 619870
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-12-11
Onset:2014-01-01
Submitted:2015-12-22
Entered:2015-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Dry mouth, Dyskinesia, Dyspnoea, Dysuria, Headache, Influenza like illness, Muscular weakness, Nausea, Palpitations, Photophobia, Sensory disturbance, Skin disorder, Sleep disorder, Syncope, Vision blurred, General physical health deterioration, Cognitive disorder, Tilt table test normal

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: HPV immunisation
Preexisting Conditions:
Diagnostic Lab Data: Tilt table test at the reporter''s department showed that the patient does not fulfill the diagnostic criteria for POTS
CDC 'Split Type': WAES1512DNK010822

Write-up:Information has been received form SPMSD (manufacturer control # DK-1577272925-2015001266) on 21-DEC-2015. Case received from a physician via HA on 18-Dec-2015 under reference number DK-DKMA-ADR 23278859 and DK-DKMA-WBS-0002059. A 12-year-old female adolescent patient received GARDASIL, (batch number unknown, Dose 1) via intramuscular route on 11-Dec-2013, GARDASIL, (batch number unknown, Dose 2) via intramuscular route on 17-Feb-2014, GARDASIL, (batch number unknown, Dose 3) via intramuscular route on 17-Jun-2014. The patient experienced Syncope in JAN-2014, Headache in JAN-2014, Dizziness in JAN-2014, Nausea on an unknown date, Palpitations on an unknown date, Voiding dysfunction on an unknown date, Skin problems on an unknown date, Dyspnoea on an unknown date, Sleep disorder on an unknown date, Cognitive dysfunction on an unknown date, Involuntary muscle movement on a unknown date, Limb weakness on an unknown date, Flu like symptoms on an unknown date, Dry mouth on an unknown date, Light sensitivity on an unknown date, Blurred vision on an unknown date, Sensory disturbance on an unknown date and Reduced general condition on an unknown date. Between 1st and 2nd vaccine - around Jan-2014 the patient experienced syncope. Also experienced headache and dizziness. Subsequently, the other reported symptoms developed. The patient described reduced general condition and large sick leave from 6th grade. Had to stop choir, as she could not breath. Unknown whether there were other vaccines or medications. Tilt table test at the reporter''s department showed that the patient does not fulfill the diagnostic criteria for POTS. At the time of reporting, the outcome was unknown for syncope. The patient was recovering/resolving from Voiding dysfunction and involuntary muscle movement. The patient had not recovered from the other reactions.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=619870&WAYBACKHISTORY=ON


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