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This is VAERS ID 632378

Case Details

VAERS ID: 632378 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2016-04-20
Entered: 2016-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Amnesia, Influenza like illness, Nausea, Somnolence, Wheelchair user
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1604IRL007993

Write-up: Information has been received from Sanofi Pasteur MSD on 12-APR-2016. Case received from a consumer/other non-health professional on 07-APR-2016. This case is linked to E2015-09282. A female patient of unknown age received GARDASIL (batch number unknown, Dose 1) in October 2013, GARDASIL (batch number unknown, Dose 2) in November 2013. GARDASIL (batch number unknown, Dose 3) in March 2014. The patient became wheelchair user on an unknown date, flu like symptoms on an unknown date, loose her memory on an unknown date and nauseas on an unknown date. The reporter stated the patient got vaccine in October 2013, second dose in November 2013 and third dose in March 2014. They started to notice a problem after 10 days after the vaccine and didn''t make the link. The patient never recovered from then. Started off with flu like symptoms and then she was starting to loses her memory and feel nausea. Her health declined significantly after the third dose. Hasn''t changed since then. The reporter says she has to use a wheelchair. She sleeps during the day and awake at night, The reporter stated before vaccination the patient went to school, played on sports and now she doesn''t. The patient''s outcome was reported as Not recovered/Not resolved.

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