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|History of Changes from the VAERS Wayback Machine|
First Appeared on 5/14/2016
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.||- / 2||UN / UN|
Administered by: Other Purchased by: Other
Symptoms: Abdominal pain, Dizziness, Fatigue, Headache, Nausea, Pain, Tic, Activities of daily living impaired
Life Threatening? No
Permanent Disability? Yes
ER or Doctor Visit? No
Other Medications: No other medications
Current Illness: Human papilloma virus immunisation
Diagnostic Lab Data:
CDC 'Split Type': WAES1601DNK011080
Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (manufacturer control # DK-1577272925-2016000507) as part of business agreement on 28-JAN-2016. Case received from a lawyer at patient insurance company via health authority on 25-Jan-2016 under reference number DK-DKMA-ADR 23324194. The health authority has received the patient''s initial notification under reference number 15-6079. The patient''s insurance has not taken a decision in the case. A female patient of unknown age received GARDASIL (batch number unknown, dose 1) in 2008, GARDASIL (batch number unknown, dose 2) in 2008, GARDASIL (batch number unknown, dose 3) in 2008. The patient experienced tiredness on an unknown date, pain on an unknown date, nausea on an unknown date, dizziness on an unknown date, headache on an unknown date, tics at the eyes on an unknown date, abdominal pain on an unknown date and had to give up high school on an unknown date. The patient received 3 doses in 2008 and developed thereafter the reported reactions, which led to that she had to give up high school. The patient has not recovered.
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