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This is VAERS ID 630650

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2016

630650
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2011-02-01
Submitted:2016-03-07
Entered:2016-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Arthralgia, Fatigue, Feeling abnormal, Feeling cold, Headache, Insomnia, Lumbar puncture, Vertigo, Activities of daily living impaired, Gastric disorder, Hot flush

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1603IRL003239

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (MFR Control No: 2016001965) on 04-MAR-2016. This case was received from RA (ref no. IE-HPRA-2016-026027) on 02-Mar-2016. Initial report was received on 16/Feb/2016 from a member of the public (patient''s mother) which concerns a 13-year-old female adolescent patient received GARDASIL (batch number unknown) on an unknown date. Concomitant medications: None. Medical history/concurrent conditions: None. The reporter added that the patient was completely healthy and active before the vaccines. The reporter indicated that the patient has missed a lot of school since 2011. The patient experienced chronically fatigued everyday, brain fog, headaches, painful joints, sleepless nights, sensitive stomach and hot and cold flushes on 01-FEB-2011. The patient received corrective treatment with: TOPAMAX, Amitriptyline, CYMBALTA, LYRICA, (Pain Killer). The reporter assessed the causal relationship between Chronic fatigue, Foggy feeling in head, Headache, Painful joints, Difficulty sleeping, Stomach upset, Feeling hot and cold and GARDASIL as Unknown. Corrective treatment: The patient was treated for vertigo initially, then IIH. She underwent a lumbar puncture. Treatment included TOPAMAX, amitriptyline and CYMBALTA and is currently taking LYRICA and pain killers. At the time of reporting the patient''s symptoms were persisting. The patient outcome was reported as not recovered/not resolved.


Changed on 9/14/2017

630650 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2011-02-01
Submitted:2016-03-07
Entered:2016-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Arthralgia, Fatigue, Feeling abnormal, Feeling cold, Headache, Insomnia, Lumbar puncture, Vertigo, Activities of daily living impaired, Gastric disorder, Hot flush

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1603IRL003239

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (MFR Control No: 2016001965) on 04-MAR-2016. This case was received from RA (ref no. IE-HPRA-2016-026027) on 02-Mar-2016. Initial report was received on 16/Feb/2016 from a member of the public (patient''s mother) which concerns a 13-year-old female adolescent patient received GARDASIL (batch number unknown) on an unknown date. Concomitant medications: None. Medical history/concurrent conditions: None. The reporter added that the patient was completely healthy and active before the vaccines. The reporter indicated that the patient has missed a lot of school since 2011. The patient experienced chronically fatigued everyday, brain fog, headaches, painful joints, sleepless nights, sensitive stomach and hot and cold flushes on 01-FEB-2011. The patient received corrective treatment with: TOPAMAX, Amitriptyline, CYMBALTA, LYRICA, (Pain Killer). The reporter assessed the causal relationship between Chronic fatigue, Foggy feeling in head, Headache, Painful joints, Difficulty sleeping, Stomach upset, Feeling hot and cold and GARDASIL as Unknown. Corrective treatment: The patient was treated for vertigo initially, then IIH. She underwent a lumbar puncture. Treatment included TOPAMAX, amitriptyline and CYMBALTA and is currently taking LYRICA and pain killers. 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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