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This is VAERS ID 673955

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2017

VAERS ID: 673955
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2011-02-02
Onset:0000-00-00
Submitted:2016-09-19
Entered:2016-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Arthralgia, Cystitis, Dizziness postural, Dyskinesia, Fatigue, Hyperhidrosis, Joint swelling, Muscular weakness, Myalgia, Palpitations, Photophobia, Skin disorder, Sleep disorder, Somnolence, Syncope, Activities of daily living impaired, Cognitive disorder, Appetite disorder, Tilt table test normal

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
Preexisting Conditions:
Diagnostic Lab Data: Examinations or lab samples: Tilt table test performed at the clinic showed that the patient did not fulfill the diagnostic criteria for POTS.
CDC 'Split Type': WAES1609DNK007508

Write-up:Information has been received from a physician via SPMSD (case report number DK-1577272925-2016009192) on 15-SEP-2016. Case received from a physician via Health Authority on 12-Sep-2016 under reference no DK-DKMA-WBS-0004430 / DK-DKMA-ADR 23635780. A 14-year-old female adolescent patient received GARDASIL (batch number Not available, Dose 1) via intramuscular route on 03-Aug-2010, GARDASIL (batch number Not available, Dose 2) via intramuscular route on 06-Oct-2010, GARDASIL (batch number Not available, Dose 3) via intramuscular route on 02-Feb-2011. The patient experienced Lipothymia recurrent, Joint pain, Muscle pain, Cognitive dysfunction, Dizziness on standing up, Palpitations during activity, Abdominal pain, Cystitis, Skin problems, sleeping disorder, Fatigue extreme, Involuntary muscle movement, Limb weakness, Abnormal sweating, Appetite, Light sensitivity to eyes, Knee and ankle joint swollen, Large absence from high school and Feels socially limited / difficult to grasp the social life on an unknown date. The patient reported that she experiencing unannounced lipothymia after the third vaccination. She was on a trip with the youth school when her roommates suddenly could not wake her up. Have had recurrent incidences. Then the other reported symptoms followed. Tilt table test performed at the clinic showed that the patient did not fulfill the diagnostic criteria for POTS. The patient reported that before the vaccination she competed in swimming at a high level. The patient feels limited today socially and dares not swim with her friends and find it difficult to grasp the social life, also because of her fatigue. Been absent a lot from middle school and high school (1. grade and 2. grade) but was just with the "absence limit". Other Vaccines: Do not know. Other Medicines: Do not know. The patient''s outcome was reported as Not Recovered/Not Resolved for Lipothymia recurrent and Feels socially limited / difficult to grasp the social life. The patient''s outcome was reported as Unknown for Joint pain, Muscle pain, Cognitive dysfunction, Dizziness on standing up, Palpitations during activity, Abdominal pain, Cystitis, Skin problems, sleeping disorder, Fatigue extreme, Involuntary muscle movement, Limb weakness, Abnormal sweating, Appetite, Light sensitivity to eyes, Knee and ankle joints swollen and large absence from high school.


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