National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 674575

Case Details

VAERS ID: 674575 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 2016-10-05
   Days after onset:15
Entered: 2016-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Dyspnoea, Headache, Hypoaesthesia, Movement disorder, Musculoskeletal stiffness, Neck pain, Pain in extremity, Paraesthesia, Peripheral coldness, Peripheral swelling, Sensory loss, Skin discolouration
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation; Eczema; Asthma
Preexisting Conditions: Ear piercing, Previous significant/severe reaction
Diagnostic Lab Data:
CDC Split Type: WAES1610GBR001331

Write-up: Information has been received from Sanofi Pasteur MSD (SPM) (manufacturer control# GB-1577272925-2016009825) on 04-OCT-2016. This case was received from the RA on 29-Sep-2016 under the reference number GB-MHRA-ADR 23660875. Case received from another health professional on 29-Sep-2016. A 12-year-old female patient received GARDASIL (batch number unknown) via intramuscular route on 20-Sep-2016. The patient received concomitant administration of (inhalers) on an unknown date for asthma. The patient experienced Swelling arm on 20-Sep-2016 same day post administration, discolouration skin on 20-Sep-2016 same day post administration, tingling skin on 20-Sep-2016 same day post administration, pain in arm on 20-Sep-2016 same day post administration, dyspnoea on 20-Sep-2016 same day post administration, dizziness on 20-Sep-2016 same day post administration, headache on 20-Sep-2016 same day post administration, hypoaesthesia on 20-Sep-2016 same day post administration, sensory loss on 20-Sep-2016 same day post administration, movement disorder on 20-Sep-2016 same day post administration, peripheral coldness on 20-Sep-2016 same day post administration, musculoskeletal stiffness on 20-Sep-2016 same day post administration and Neck pain on 20-Sep-2016 same day post administration. The patient was admitted to hospital on an unspecified date. The patient had a medical history of: -Eczema -Ear piercing. The patient recovered from: -Discolouration skin on 20-SEP-2016, Dyspnoea on 20-SEP-2016, -Dizziness on 20-SEP-2016, Headache on 20-SEP-2016. -Tingling skin on an unknown date in September 2016. PIRITON 10ml had no affect but ibuprofen and paracetamol helped with the pain. At the time of reporting there was a slight reduction of swelling and the pain has lessened. The patient was seen by plastics and we have an appointment with them tomorrow. The patient also saw a physiotherapist who has given the patient some hand exercises to do which will hopefully increase movement. The patient has another appointment to see the physiotherapists again next week and a further appointment with paediatrics in three months'' time. The patient''s outcome for the rest events was reported as unknown.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166