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This is VAERS ID 620319

Case Details

VAERS ID: 620319 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:2015-11-01
Onset:2015-12-07
   Days after vaccination:36
Submitted: 2015-12-29
   Days after onset:22
Entered: 2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Muscular weakness, Neurogenic bladder, Nuclear magnetic resonance imaging spinal abnormal, Polymerase chain reaction positive, Spinal cord infarction, Urinary tract infection, Varicella virus test positive
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (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:
Allergies:
Diagnostic Lab Data: 12/2015, Nuclear magnetic resonance imaging, changes in medulla spinals from C5 to TH1/TH2 not provided; 12/2015, Varicella virus test, PCR, DNA positive in serum not provided
CDC Split Type: WAES1512NOR013381

Write-up: Information has been received from Sanofi Pasteur MSD (MFR number # NO-1577272925-2015001473) on 28-DEC-2015. Case received from a other health professional via a health authority on 23-DEC-2015 under the reference number NO-NOMAADVRE-FHI-2015-21217. A 13-year-old female adolescent patient received GARDASIL, (batch number unknown) via parenteral route in NOV-2015. The patient experienced Muscular weakness on 08-DEC-2015, Neurogenic bladder on 08-DEC-2015, Urinary tract infection on an unknown date, Paresis on 07-DEC-2015 and Spinal cord infarction on 07-DEC-2015. Additional investigations included: Varicella Virus Test in Dec-2015: PCR, DNA positive in serum. Nuclear Magnetic Resonance Imaging in Dec-2015: changes in medulla spinalis from C5 to TH1/TH2. The reporter assessed the causal relationship: between Lower extremities weakness of and GARDASIL as Reasonable Possibility; between Bladder paralysis and GARDASIL as Reasonable Possibility; between Urinary tract infection and GARDASIL as Reasonable Possibility; between Paresis in arms and GARDASIL as Reasonable Possibility; between Spinal cord infarction and GARDASIL as Reasonable Possibility.


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