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This is VAERS ID 644228

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2017

VAERS ID: 644228
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 / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Fatigue, Headache, Malaise, Menstrual disorder, Nausea, Viral infection

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Insulin
Current Illness: Type 1 diabetes mellitus
Preexisting Conditions: Scoliosis
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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