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This is VAERS ID 620175

Case Details

VAERS ID: 620175 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2015-12-23
Entered: 2015-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Cognitive disorder, Dysuria, Eczema, Fatigue, Headache, Orthostatic intolerance
SMQs:, Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow)

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: HPV immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1512DNK011219

Write-up: Information has been received from SPMSD (case report # DK-1577272925-2015001195) on 21-DEC-2015. Case received from a physician on 17-Dec-2015. A female patient of unknown age received GARDASIL, (batch/lot number and expiration date unknown) via intramuscular route in 2010. The patient experienced Headache in 2010, Orthostatic intolerance on an unknown date, Voiding difficulty on an unknown date, Eczema on an unknown date, Fatigue extreme on an unknown date and Cognitive dysfunction on an unknown date. Shortly after her first and only dose of GARDASIL, the patient develops headache and since then the other reported symptoms develop. The patient cannot remember vaccination dates, but believes it was in 2010 and remember that the headache came shortly after.

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