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This is VAERS ID 644513

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2016

644513
VAERS Form:
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2011-08-30
Onset:0000-00-00
Submitted:2016-07-12
Entered:2016-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Disturbance in attention, Epilepsy, Headache, Hyperhidrosis, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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
Allergies:
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.


Changed on 9/14/2017

644513 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2011-08-30
Onset:0000-00-00
Submitted:2016-07-12
Entered:2016-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Disturbance in attention, Epilepsy, Headache, Hyperhidrosis, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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
Allergies:
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.


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