National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 644513

Case Details

VAERS ID: 644513 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Submitted: 2016-07-12
Entered: 2016-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Disturbance in attention, Epilepsy, Headache, Hyperhidrosis, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Convulsions (narrow), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Obsessive-compulsive disorder, The patient probably has a restrictive OCD problem; Human papilloma virus immunisation
Preexisting Conditions: Attention deficit/hyperactivity disorder, There is a strong history of psychiatric disorder in the form of, among other affective disorder and; Affective disorder, There is a strong history of psychiatric disorder in the form of, among other affective disorder and
Diagnostic Lab Data:
CDC Split Type: WAES1607DNK002505

Write-up: Information has been received from Sanofi MSD (SPM) (manufacturer control number: 2016007078), as a part of a business agreement, on 06-JUL-2016. Case received from a physician via HA with reference number DK-DKMA-WBS-0003936 on 05-JUL-2016. A 12-year-old female adolescent patient received GARDASIL, (batch number is not available, Dose -1) via intramuscular route on 30-AUG-2011. The patient experienced headache, nausea, sweating tendency, pain in hip, abdominal pain, concentration impairment and epilepsy on an unknown date. History Around Side Effects: 17 year old girl with diffuse and intrusive symptoms, the headaches, nausea, sweating, hip pain and abdominal pain have been the most dominating ones. The patient via neurologists started treatment for suspected epilepsy. She is also under investigation in child psychiatry on suspicion of OCD. There is a strong history of psychiatric disorder in the form of among other things affective disorder and ADD. Derived therefrom also significant psychosocial stress. It''s hard to get a clear overview of when symptoms began in connection with HPV vaccine. Presumably, some of the symptoms been present before vaccination. The patient had a medical history of: -Affective disorder, -Attention deficit/hyperactivity disorder, -Obsessive-compulsive disorder. The patient''s outcome was reported as not recovered/not resolved.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166