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This is VAERS ID 629695

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 629695
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

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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