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This is VAERS ID 673794

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2017

VAERS ID: 673794
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2013-05-15
Onset:0000-00-00
Submitted:2016-09-16
Entered:2016-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthritis, Disturbance in attention, Fatigue, Tension headache, Laboratory test normal, Haematology test normal, Liver function test normal, Mental disorder

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: Human papilloma virus immunisation; Seizure; Stress
Preexisting Conditions:
Diagnostic Lab Data: Examinations or lab samples: Hepatic, infection and hematological samples, celiaki screening, vitamin D. All without remark
CDC 'Split Type': WAES1609DNK007741

Write-up:Information has been received from SPMSD (manufacturer control no. DK-1577272925-2016009200) on 15-SEP-2016. Case received from a physician via Health Authority on 12-Sep-2016 under reference no DK-DKMA-WBS-0004422 / DK-DKMA-ADR 23638549. A 12-year-old female adolescent patient received GARDASIL (batch number Not available, Dose 1) via intramuscular route on 18-Sep-2012, GARDASIL (batch number Not available, Dose 2) via intramuscular route on 21-Nov-2012, GARDASIL, (batch number Not available, Dose 3) via intramuscular route on 15-May-2013. The patient experienced Headache tension, Fatigue, Attention impaired and Coxitis on an unknown date. Description: The patient has a number of diffuse symptoms. The temporal relation to GARDASIL vaccination is uncertain. Before and prior to the symptoms, there were significant psychosocial issues which more likely explains the events. Other Vaccines: No. Other Medicines: No. The patient''s outcome was reported as Not Recovered/Not Resolved for Headache tension and Attention impaired. The patient''s outcome was reported as Recovering/Resolving for Fatigue and Coxitis.


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