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This is VAERS ID 673409

Case Details

VAERS ID: 673409 (history)  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:2013-01-30
Onset:2013-09-01
   Days after vaccination:214
Submitted: 2016-09-08
   Days after onset:1103
Entered: 2016-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Blood test normal, Dizziness, Headache, Memory impairment, Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: HPV immunisation; Learning disability; Obsessive-compulsive disorder; Attention deficit/hyperactivity disorder
Preexisting Conditions:
Diagnostic Lab Data: Blood samples taken, nothing abnormal.
CDC Split Type: WAES1609DNK002769

Write-up: Information has been received from Sanofi Pasteur MSD (SPM) (2016008858) on 06-SEP-2016. Case received from a physician on 01-SEP-2016 under the reference numbers DK-DKMA-WBS-0004380 / DK-DKMA-ADR 23626187. A 13-year-old female adolescent patient received GARDASIL, (batch number Lot unknown, Dose 1) on 10-AUG-2012, GARDASIL, (batch number Lot unknown, Dose 2) on 10-OCT-2012, GARDASIL, (batch number Lot unknown, Dose 3) on 30-JAN-2013. The patient experienced Pain in the musculoskeletal system, memory problems, headache, Attacks of dizziness on an unknown date. The patient had a medical history of: -Obsessive-compulsive disorder; -Attention deficit/hyperactivity disorder. The patient''s outcome was reported as Not Recovered/Not Resolved. No other medications or vaccinations. Translated case summary: "The family insists that there is a connection to the HPV vaccine, although the vaccinations were given greater than 6 months prior to symptom onset. Investigated at orthopaedic surgeon and children''s psychiatrist. Has received the diagnoses OCD, ADHD and Specific Learning Disorder. Total IQ 81."


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