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This is VAERS ID 629697

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2017

VAERS ID: 629697
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2012-03-21
Onset:0000-00-00
Submitted:2016-02-26
Entered:2016-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Fatigue, Menstrual disorder, Nausea

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': WAES1602IRL011235

Write-up:Information has been received from Sanofi Pasteur MSD (reference # IE-1577272925-2016001591) on 23-FEB-2016. This case was received from the health authority on 19-Feb-2016. Ref IE-HPRA-2016-025943. Initial report was received by the RA on 04/Feb/2016 from a member of the public (patient''s mother) which concerns a 13 year old female patient who experienced Dizziness, Nausea, Fatigue and Menstrual disorder following vaccination with GARDASIL (batch/lot # and expiration date not reported). Concomitant medications: None. Medical history/concurrent conditions: None reported. The patient was vaccinated with GARDASIL on 23/Sep/2011 and 21/Mar/2012. Post vaccination, the patient experienced dizziness, nausea, tiredness and menstrual problems that are ongoing to date. Corrective treatment: None reported.


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