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This is VAERS ID 650239

Case Details

VAERS ID: 650239 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2016-08-26
Entered: 2016-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Impaired quality of life, Muscle disorder
SMQs:, Rhabdomyolysis/myopathy (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: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1608USA007985

Write-up: This solicited report was received from a consumer and refers to a female patient of unknown age enrolled in a market research. the patient''s concurrent conditions and medical history were not reported. On an unknown date, the patient was vaccinated with GARDASIL (dose, route of administration, lot number and expiration date were not reported). Concomitant therapy was not reported. It was stated that the patient was an extremely talented and dedicated dancer, who on an unknown date began to have major muscular issues and at the time of the report she was no longer able to dance. the outcome of the events was not reported. the relatedness between the events and GARDASIL was not reported. Additional information is not expected as the reporter refused additional contact.

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