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This is VAERS ID 642171

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 642171
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2015-02-05
Onset:2015-02-05
Submitted:2016-05-26
Entered:2016-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Eye pain, Headache, Heart rate decreased, Heart rate increased, Mood swings, Muscular weakness, Pyrexia, Somnolence, Finger deformity

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': WAES1605GBR012468

Write-up:Information has been received from Sanofi Pasteur MSD (MFR control number GB-1577272925-2016005451) on 25-MAY-2016. This case was received from RA (GB-MHRA ADR 23478011) on 20-May-2016. Initial case received from a consumer/other non-health professional concerns a 13-year-old female adolescent patient (Weight: 57.15 kg) received GARDASIL (batch number unknown) via parenteral route on 05-FEB-2015. The patient experienced High temperature, rapid heart rate, sleepy, Low pulse, Mood swings, Eye pain, Muscular weakness, Headache, Abdominal pain upper, Finger deformity on 05-FEB-2015. The patient was admitted to hospital on an unspecified date. The patient''s outcome was reported as Not Recovered/Not Resolved. High temperature, rapid heart rate, low pulse, sleepy, headaches, muscle weakness in legs, fingers bent slightly, eye pain, stomach cramps, mood swings - still has these symptoms. Had reaction same day she received GARDASIL.


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