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This is VAERS ID 629695

Case Details

VAERS ID: 629695 (history)  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2016-02-29
Entered: 2016-02-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Memory impairment, Pain, Presyncope
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1602JPN012445

Write-up: Initial information has been received from a physician concerning a female patient (age unknown) who was intramuscularly vaccinated with GARDASIL injection drug (vaccinated date and dose indication). No information including underlying/concomitant disease and medical history was obtained. No other concomitant medication was reported. On an unknown date, the patient was intramuscularly vaccinated with recombinant GARDASIL intramuscular injection syringe for the first time. The patient had an episode of suspected memory impairment. On an unknown date, the patient was intramuscularly vaccinated with GARDASIL for the second time. The patient had an episode of suspected memory impairment. On an unknown date, the patient was intramuscularly vaccinated with GARDASIL for the third time. The patient had an episode of suspected memory impairment and pain like she was about to faint. At the time of the report on 24-FEB-2016, the outcome of memory impairment and pain was unknown. Reporter''s comment: It was unknown if the patient was vaccinated with GARDASIL or CERVARIX. The reporting physician considered that memory impairment was serious due to disability. The reporting physician considered pain as non-serious. The reporting physician did not assess the causal relationship of memory impairment and pain to GARDASIL. Additional information has been requested.


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