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This is VAERS ID 629513

Case Details

VAERS ID: 629513 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2016-02-18
Entered: 2016-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Cognitive disorder, Dizziness, Fatigue, Irritable bowel syndrome, Menstruation irregular, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Fertility disorders (broad), Noninfectious diarrhoea (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: Human papilloma virus immunisation
Preexisting Conditions: Infectious mononucleosis
Diagnostic Lab Data:
CDC Split Type: WAES1602DNK07701

Write-up: Information has been received from Sanofi Pasteur MSD (SPM) (manufacturer control # DK-1577272925-2016001209) as part of business agreement on 16-FEB-2016. Case received from a physician via HA on 12-Feb-2016 under the reference number DK-DKMA-ADR 23352446 and DK-DKMA-WBS-0002686. A female patient of unknown age received GARDASIL, (batch number unknown) on an unknown date. The patient experienced Fatigue extreme / tiredness on an unknown date, Headache on an unknown date, Dizziness on an unknown date, Irritable bowel syndrome on an unknown date, Abdominal pain on an unknown date, Irregular periods on an unknown date, Cognitive disorders / cognitive dysfunction on an unknown date and Muscular weakness on an unknown date. Uncertain progression - it has been a long time and the patient cannot with certainty inform of the vaccination dates. In addition, there has also been a mononucleosis infection after the vaccination. However - the patient experienced approx 1/2 year after the last and third vaccine the symptoms above. The worst symptoms that are still present and affect the patient''s daily life are stomach problems and tiredness + cognitive dysfunction. The reporter had agreed with the patient to report with the mentioned reservations. The patient had a medical history of Infectious mononucleosis. At the time of reporting, the patient had not recovered from Fatigue extreme / tiredness, Irritable bowel syndrome, Abdominal pain, and Cognitive disorders / cognitive dysfunction. The outcome was unknown for the other reactions.

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