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This is VAERS ID 644228

Case Details

VAERS ID: 644228 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Foreign  
Vaccinated:2011-09-26
Onset:0000-00-00
Submitted: 2016-07-06
Entered: 2016-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. G00566 / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Fatigue, Headache, Malaise, Menstrual disorder, Nausea, Viral infection
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin
Current Illness: Type 1 diabetes mellitus
Preexisting Conditions: Scoliosis
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1607IRL001989

Write-up: Information has been received from Sanofi Pasteur MSD (MFR Control Number 2016006998) on 05-JUL-2016, as a part of business agreement. This case was received from RA (Ref no. IE-HPRA-2016-027114) on 01-JUL-2016. Initial case received from a consumer/other non-health professional which concerns a 13-year-old female adolescent patient received GARDASIL (batch number G00566) on 26-MAR-2012, GARDASIL (batch number G00566) on 26-SEP-2011. The patient received concomitant administration of Insulin (Generic) on an unknown date. The patient experienced extreme/chronic fatigue, joint pain, headache, nausea, unexplained recurring viral infections, menstrual problems and feels unwell on an unknown date. The patient had a medical history of: Scoliosis, Type 1 diabetes mellitus. Corrective treatment to date: Complete rest, pain relief and antibiotic for throat, ear and chest infections. No treatment for viral infections. The patient''s outcome was reported as Not Recovered/Not Resolved. The reporter assessed the causal relationship: between Fatigue extreme, Joint pain, Headache, Nausea, Viral infection, Menstrual disorder, Feeling unwell and GARDASIL as Unknown.


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