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This is VAERS ID 647343

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2016

VAERS ID: 647343
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2015-09-18
Onset:0000-00-00
Submitted:2016-08-11
Entered:2016-08-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Heart rate increased, Nausea, Pain in extremity, Weight decreased

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data: Weight: weight loss, over 2 stone (since January 2016)
CDC 'Split Type': WAES1608IRL006144

Write-up:Information has been received from SPMSD (manufacturer control # IE-1577272925-2016008054) on 10-AUG-2016. This case was received from agency (Ref No. IE-HPRA-2016-027364) on 05-Aug-2016. Initial case received from a consumer/other non-health professional which concerns a 13-year-old female adolescent patient received GARDASIL (batch number unknown) on 18-Sep-2015. Medical history/concurrent conditions: None. Concomitant medications: None. The patient experienced nauseas, dizziness, sharp pains in head, rapid heartbeat and weight loss (over 2 stone sine Jan/2016) on an unknown date. The patent was admitted to hospital on an unspecified date. The patient''s outcome was reported Not Recovered/Not resolved. Corrective treatment: Anti-nausea mediation, antacids and painkillers. The reporter indicated that none of these helped. The reporter assessed the causal relationship: between nausea, dizziness, pain head, heart rate high, loss of weight and GARDASIL as Unknown. The case is considered to be serious as hospitalization, disability and medically significant.


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