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This is VAERS ID 620179

Case Details

VAERS ID: 620179 (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: Diarrhoea, Muscle spasms, Muscular weakness, Nausea, Orthostatic intolerance, Pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

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: Vomiting (during examination). Patient informs that she has "things in the luggage: - has a hard life but actually been well - experience significant deterioration in existing symptoms and new ones developed new after HPV vaccine. Cannot described it closer than that.
Diagnostic Lab Data:
CDC Split Type: WAES1512DNK010815

Write-up: Information has been received from Sanofi Pasteur MSD (SPM) (manufacturer control # DK-1577272925-2015001182) as part of business agreement on 21-DEC-2015. Case received from a physician via the Health Authority on 17-Dec-2015 under the reference DK-DKMA-WBS-0002083. A female adult patient of unknown age received GARDASIL, (batch number unknown, Dose -1) via intramuscular route in 2013. The patient experienced Pain burning on an unknown date, Muscle spasms / muscle cramps on an unknown date, Nausea on an unknown date, Diarrhea on an unknown date, Orthostatic intolerance on an unknown date, Syncopal attack on an unknown date and Muscle weakness on an unknown date. The patient had a medical history of Vomiting. Due to pain and much muscle cramps and is so muscle weakened the tilt table test cannot be carried out. Throwing up - probably due to pain - when attempting to implement examination. Reporter is not fully aware of the timing. Patient informs that she has "things in the luggage" - had a hard life but actually been well - experienced significant deterioration in existing symptoms and new ones developed new after HPV vaccine. Cannot describe it closer that that. Other medicines/vaccines: unknown. Vaccinated with GARDASIL in 2013. Outcome is not recovered.

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