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This is VAERS ID 620935

Case Details

VAERS ID: 620935 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 2016-01-21
   Days after onset:671
Entered: 2016-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Fatigue, Headache, Viral infection

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:
Current Illness: Prophylaxis
Preexisting Conditions: Asthma; BOOSTRIX
Diagnostic Lab Data:
CDC Split Type: WAES1601IRL007420

Write-up: Information has been received from Sanofi Pasteur MSD [IE-1577272925-2016000289] on 20-JAN-2016. This case was received from the health authority on 15-JAN-2016. Ref. IE-HPRA-2016-025590. Initial report was received by the HPRA on 01-JAN-2016 from a member of the public which concerns a 13 year old female patient who experienced Fatigue, Headache and Viral infection following vaccination with GARDASIL. Concomitant medications: BOOSTRIX on 24-MAR-2014. Medical history/concurrent conditions: Asthma. The patient was vaccinated with three doses of GARDASIL via IM route between 16-SEP-2013 and 21-MAR-2014 (batch/lot numbers H019633; expiry date: 31-MAY-2015, J005033; expiry date: 31-AUG-2015 and J004978 expiry date: 31-AUG-2015). Immediately post vaccination, on 21-MAR-2014, the patient experienced extreme fatigue, headaches and frequent viral type illness. Corrective treatment: Analgesia, TOPAMAX and herbal tonics. The reporter indicated that the patient''s quality of life is severely affected. At the time of reporting the patient''s symptoms were persisting.

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