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This is VAERS ID 646712

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2016

VAERS ID: 646712
Age:
Gender:Female
Location:Foreign
Vaccinated:2010-10-01
Onset:2010-10-01
Submitted:2016-08-05
Entered:2016-08-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Coxsackie viral infection, Herpes virus infection, Lyme disease

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1608IRL003060

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) on 04-AUG-2016. This case was received from RA (Ref no. IE-HPRA-2016-027321) on 02-AUG-2016. Initial case was received from a consumer/other non-health professional which concerns a 13-year-old female adolescent patient received GARDASIL, (batch number unknown), dose 1 (route of administration: intramuscular) on 01-OCT-2010, GARDASIL, (batch number unknown), dose 2 (route of administration: intramuscular) on 01-OCT-2011. Concomitant medications: None. Medical history/concurrent conditions: None reported. The patient experienced Chronic Lyme''s Disease, Active Coxsackie Virus and Active Herpes Virus Type 1 on 01-OCT-2010. The reporter added that the patient cannot leave bed for days and can''t live life. Corrective treatment: None. The reporter added that the patient is struggling from day to day. The patient''s outcome was reported as Not Recovered/Not Resolved. The reporter assessed the causal relationship: between Lyme disease, Coxsackie viral infection, Herpes simplex type 1 and GARDASIL as Unknown.


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