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This is VAERS ID 669866

Case Details

VAERS ID: 669866 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Submitted: 2016-12-06
Entered: 2016-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Asthenia, Decreased appetite, Fatigue, Flat affect, Headache, Pain, Photophobia, Social avoidant behaviour
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (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:
Current Illness: Routine immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: GB0095075131612GBR002380

Write-up: Information has been received from Sanofi Pasteur MSD (SPM) (MFR control number # GB-1577272925-2016012409) on 05-DEC-2016. This case was received from regulatory authority (Ref no # GB-MHRA-ADR 23336061 and GB-MHRA-EYC 00134538) on 01-DEC-2016. Initial case received from a consumer/other non-health professional from a 12-year-old female adolescent patient received (Gardasil, batch number unknown) via parenteral route on an unknown date. Following this vaccination my daughter became weak, achy, headaches a generally fatigued, Headache, Pain, Photophobia, Decreased appetite, Social avoidant behaviour and Asthenia on an unknown date. The patient misses lots of school as she''s unable to get up and function in the mornings and spends her days just very flat. The patient has changed as a person from being bright, jolly and outgoing before the vaccination to now withdrawn, not going out and almost always fatigued. Went to general practitioner (GP) who after many visits contacted a paediatrician. The patient''s outcome was reported as Not Recovered/Not Resolved.

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