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This is VAERS ID 635232

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 635232
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2009-08-11
Onset:0000-00-00
Submitted:2016-05-05
Entered:2016-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Dyskinesia, Dyspnoea, Dysuria, Fatigue, Headache, Hyperhidrosis, Influenza like illness, Malaise, Muscular weakness, Neuralgia, Oedema peripheral, Palpitations, Photophobia, Presyncope, Skin disorder, Sleep disorder, Syncope, Vision blurred, General physical health deterioration, Activities of daily living impaired, Cognitive disorder, Angiopathy, Tilt table test normal

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: Human papilloma virus, immunisation
Preexisting Conditions:
Diagnostic Lab Data: Test or examinations: Yes
CDC 'Split Type': WAES1605DNK001141

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (MFR Control No: DK-1577272925-2016004796) on 29-APR-2106. Case received from a physician via health authority on 28-Apr-2016 under reference number DK-DKMA-WBS-0003292. A 12-year-old female adolescent patient received GARDASIL (batch number unk, Dose 1) via intramuscular route on 22-Jan-2009, GARDASIL (batch number unk, Dose 2) via intramuscular route on 26-Mar-2009, GARDASIL (batch number unk, Dose 3) via intramuscular route on 11-Aug-2009. The patient experienced dyspnoea on an unknown date, flu like symptoms in MAR-2009, dizziness on an unknown date, limb weakness on an unknown date, cognitive dysfunction on an unknown date, utilpas in MAR-2009, fatigue on an unknown date, has completed education, but has bad, but with less character to follow on an unknown date, syncope on an unknown date, voiding dysfunction on an unknown date, abnormal sweating on an unknown date, skin problems on an unknown date, abdominal crampy pains on an unknown date, disordered sleep on an unknown date, headache on an unknown date, vascular abnormalities on an unknown date, involuntary muscle movement on an unknown date, blurred vision on an unknown date, oedema extremities on an unknown date, light sensitivity to eye on an unknown date, near syncope on an unknown date, nausea on an unknown date, neuropathic pain on an unknown date, the disease has had negative consequences on her social life on an unknown date, palpitations on an unknown date, diarrhea on an unknown date and reduced general function on an unknown date. After 2nd dose the patient experience malaise, afterwards the other reported reactions. During the tilt table test at syncope center the patient dose not fulfill the diagnostic criteria for POTS. The patient describes reduced general function. She has performed education, but with less character to follow. In addition has her disease had negative consequences for her social life. Other medicines or vaccines: Unknown. The outcome was reported as not recovered for impaired work ability and unknown for the other reported reactions.


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