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This is VAERS ID 635400

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 635400
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:2009-07-02
Onset:2009-10-01
Submitted:2016-05-09
Entered:2016-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Back pain, Discomfort, Disturbance in attention, Dizziness postural, Fatigue, Headache, Infection susceptibility increased, Influenza like illness, Muscle contractions involuntary, Muscle spasms, Nausea, Palpitations, Vision blurred, Visual impairment, Activities of daily living impaired, Oropharyngeal pain

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; Hypermobility syndrome, Hypermobilitet
Preexisting Conditions:
Diagnostic Lab Data: Carried out studies and / or laboratory tests: No
CDC 'Split Type': WAES1605DNK002395

Write-up:Information has been received from Sanofi Pasteur MSD (manufacturer control number # 2016004929) as part of business agreement on 04-MAY-2016. Case received from a HCP via Health Authority on 02-MAY-2016 with the reference number DK-DKMA-WBS-0003335. Case from a physician. A 14-year-old female adolescent patient received GARDASIL, (batch number LOT NOT REP, Dose 1) via intramuscular route on 04-Jul-2008, GARDASIL, (batch number unknown, Dose 2) on 04-Feb-2009, GARDASIL, (batch number unknown, Dose 3) on 02-Jul-2009. The patient experienced Arthralgia in OCT-2009, back pain in OCT-2009, fasciculation skeletal muscle in 2010, discomfort bodily, most legs in 2011, influenza symptoms of joint pain/cramps in 2010, infection tendency in 2010, tiredness in 2010, headache in 2012, visual disturbance, difficulty focusing in 2012, orthostatic dizziness in 2012, concentration difficulty in 2012, throat pain in 2010, abdominal pain in 2011, nausea in 2011, palpitations in 2012, influenza symptoms of joint pain / cramps in 2010, difficulty concentrating in 2012 and could not complete high school, is on education aid on an unknown date. The patient had a medical history of Hypermobility syndrome. The patient''s outcome was reported as not recovered/not resolved. History around adverse reaction: Could not complete high school, is on education aid. Other vaccines: No. Other medicines: Yes.


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