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This is VAERS ID 648612

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2016

VAERS ID: 648612
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-12-01
Onset:0000-00-00
Submitted:2016-08-19
Entered:2016-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Anxiety, Constipation, Diarrhoea, Dizziness, Dyspnoea, Muscular weakness, Nausea, Palpitations, Skin disorder, Sleep disorder, Suicidal ideation, Tremor, Activities of daily living impaired, Tilt table test normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: HPV immunisation
Preexisting Conditions:
Diagnostic Lab Data: Examinations and/or laboratory tests performed: Yes; Tilt table test (unknown date): Does not fulfill POTS criteria.
CDC 'Split Type': WAES1608DNK009799

Write-up:Information has been received from Sanofi Pasteur MSD (SPM) (MFR control number DK-1577272925-2016008235) on 18-AUG-2016. Case received from a physician via HA on 15-AUG-2016. A 12-year-old female adolescent patient received GARDASIL, (batch number LOT UNK, Dose 1) via intramuscular route on 01-DEC-2010, GARDASIL, (batch number LOT UNK, Dose 2) via intramuscular route on 16-FEB-2011, GARDASIL, (batch number LOT UNK, Dose 3) via intramuscular route on 04-AUG-2011. The patient experienced anxiety, suicidal/suicidal thoughts, dizziness, palpitation, nausea, abdominal pain, skin disorder, shortness of breath, sleep disorder, weakness of legs, weakness of arms, shaking of hands, obstipation, diarrhea, and a lot of absence from 9th grade and dropped out of 10th grade on an unknown date. Process of the adverse events: patient informs that the first symptoms occurred in between the first and second vaccination - she then debuted with anxiety and suicidal thoughts. Subsequently the rest of the symptoms occurred. Up until the vaccinations the patient played handball 1 time a week. As a consequence of the symptoms the patient has been having a lot of absence from 9th grade and dropped out of 10th grade. She has also been admitted to the child psychiatry unit. Tilt table test shows that she does not fulfill the diagnostic criteria for Postural Orthostatic Tachycardia Syndrome. Other vaccines or medications: unknown. The patient was admitted to hospital on an unspecified date. Additional investigations included tilt table test does not fulfill POTS criteria on an unknown date. The patient''s outcome was reported as not recovered/not resolved.


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