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This is VAERS ID 620354

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2017

VAERS ID: 620354
Age:
Gender:Female
Location:Foreign
Vaccinated:2011-10-05
Onset:0000-00-00
Submitted:2015-12-29
Entered:2015-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. AHPVA143DA / 2 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Motor dysfunction

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: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': JP2015JPN178875

Write-up:This case was reported by a physician via sales rep and described the occurrence of motor dysfunction in a 20-year-old female subject who received CERVARIX (batch number AHPVA122BA, expiry date unknown), (batch number AHPVA100CA, expiry date unknown) and (batch number AHPVA143DA, expiry date unknown). On 19th March 2011, the subject received the 1st dose of CERVARIX (intramuscular) .5 ml. On 23rd April 2011, the 2nd dose was .5 ml. On 5th October 2011, the 3rd dose was .5 ml. On an unknown date, unknown after receiving CERVARIX, the subject experienced motor dysfunction (serious criteria disability) and weakness generalised (serious criteria disability). On an unknown date, the outcome of the motor dysfunction and weakness generalised were unknown. It was not reported if the reporter considered the motor dysfunction and weakness generalised to be related to CERVARIX.


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