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This is VAERS ID 620632

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2017

620632
VAERS Form:
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2012-03-18
Onset:2012-11-01
Submitted:2016-01-13
Entered:2016-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Sleep attacks, Hypersomnia-bulimia syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Migraine, the patient had migraine as her father; Human papilloma virus immunisation;
Preexisting Conditions: 01/15/2001, PRIORIX, Immunisation;
Allergies:
Diagnostic Lab Data: The patient has been investigated first at peadiatric department, when at clinical neurophysiology Department.
CDC 'Split Type': WAES1601DNK003481

Write-up:Initial information has been received from Sanofi Pasteur (MSD) (case report number DK-1577272925-20160000748) as a part of a business agreement on 12-JAN-2016. Case received from a physician via Health Authority on 07-Jan-2016 under reference number DK-DKMA-WBS-0002303. A 13-year-old female adolescent patient received GARDASIL (batch number Kan ikke skaffes, Dose 1) via intramuscular route on 31-Aug-2011, GARDASIL, batch number unknown, Dose 2) via intramuscular route on 01-Nov-2011, GARDASIL (batch number unknown, Dose 3) via intramuscular route on 08-Mar-2012. The patient received concomitant administration of PRIORIX on 31-Aug-2011. The patient experienced Kleine-Levin syndrome on 01-NOV-2012 and sleep attacks on 01-NOV-2012. Vaccinated according to guidelines. Got the first sleep attack due to kleine-levin syndrome November 2012. This 7-8 months until diagnosis. The patient had a medical history of Migraine. The patient had received PRIORIX on 15-JAN-2001. The patient''s outcome was reported as Not Recovered/Not Resolved.


Changed on 9/14/2017

620632 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2012-03-18
Onset:2012-11-01
Submitted:2016-01-13
Entered:2016-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Sleep attacks, Hypersomnia-bulimia syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Migraine, the patient had migraine as her father; Human papilloma virus immunisation;
Preexisting Conditions: 01/15/2001, PRIORIX, Immunisation;
Allergies:
Diagnostic Lab Data: The patient has been investigated first at peadiatric department, when at clinical neurophysiology Department.
CDC 'Split Type': WAES1601DNK003481

Write-up:Initial information has been received from Sanofi Pasteur (MSD) (case report number DK-1577272925-20160000748) as a part of a business agreement on 12-JAN-2016. Case received from a physician via Health Authority on 07-Jan-2016 under reference number DK-DKMA-WBS-0002303. A 13-year-old female adolescent patient received GARDASIL (batch number Kan ikke skaffes, Dose 1) via intramuscular route on 31-Aug-2011, GARDASIL, batch number unknown, Dose 2) via intramuscular route on 01-Nov-2011, GARDASIL (batch number unknown, Dose 3) via intramuscular route on 08-Mar-2012. The patient received concomitant administration of PRIORIX on 31-Aug-2011. The patient experienced Kleine-Levin syndrome on 01-NOV-2012 and sleep attacks on 01-NOV-2012. Vaccinated according to guidelines. Got the first sleep attack due to kleine-levin syndrome November 2012. This 7-8 months until diagnosis. The patient had a medical history of Migraine. The patient had received PRIORIX on 15-JAN-2001. The patient''s outcome was reported as Not Recovered/Not Resolved.


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