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This is VAERS ID 671606

Case Details

VAERS ID: 671606 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:2016-11-11
Onset:0000-00-00
Submitted: 2016-12-12
Entered: 2016-12-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M023290 / UNK LA / UN

Administered by: Other       Purchased by: Unknown
Symptoms: Arthralgia, Back pain, Disability, Fatigue, Headache, Mobility decreased, Muscular weakness, Musculoskeletal pain, Myalgia, Nausea, Neck pain, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament 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: Human papillomavirus immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: SE0095075131612SWE004661

Write-up: This information was received from Sanofi Pasteur (SE-001) on 08-DEC-2016. This report was received from SPMSD (SE-001) and is from the Agency (reference number: SE-MPA-2016-006965). 2016-006965 (0.0) A report was received from a nurse concerning a 11 year old healthy girl. The day after another report was received from a physician regarding the same event. The same day as the girl received GARDASIL; she experienced tiredness and painful condition in arms and legs. Thereafter also nausea and "pain in the head". The pain and the tiredness diminished after one week but the girl then had sometimes pain in the back and neck. One week after the vaccination, she was able to stand up. The outcome has been reported as not yet recovered. On 30-NOV-2016, a report was received from a consumer which described nausea, tiredness, joint pain, muscular weakness and lasting muscular pain. She had difficulty moving. Worst was the pain in the muscles and joints. In addition, pain in the shoulder, back and neck. It was mentioned that all the adverse reactions started on the same day as the vaccine was given. Reported that this has led to permanent disability. SPC 4.8 pain in extremity, asthenia/LL/TL. No follow-up: For health authority reports the initial reporter is anonymized towards the pharma company and it is not possible to request FU information.


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