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This is VAERS ID 629623

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2017

VAERS ID: 629623
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2011-09-19
Onset:0000-00-00
Submitted:2016-02-19
Entered:2016-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Fatigue, Headache, Pyrexia, Skin striae, Cognitive disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1602IRL009236

Write-up:Information has been received from Sanofi Pasteur (MSD) (SPM) (MFR control number IE-1577272925-2016001389) on 18-FEB-2016. This case was received from the health authority on 16-FEB-2016 under reference number IE-HPRA-2016-025878. Initial report was received by the RA on 01-FEB-2016 from a member of the public (patient''s mother and also a HCP) which concerns a 13 year old female patient who experienced Fatigue, Arthralgia, Skin striae, Abdominal pain, Pyrexia, Headache and Cognitive disorder following vaccination with GARDASIL. Concomitant medications: None. Medical history/concurrent conditions: Nil. The patient was vaccinated with 3 doses of GARDASIL via IM route, including one dose received on 19-SEP-2011 (only one vaccination date provided). Approximately 4 weeks post vaccination, the patient experienced chronic fatigue, joint pains, stretch marks, severe headaches, reduced cognition, abdominal pain and pyrexia. The reporter indicated that the patient has had multiple hospital admissions and multiple GP and consultant visits. At the time of reporting the patient''s symptoms were persisting. The patient outcome was reported as not recovered/not resolved.


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