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This is VAERS ID 674575

Case Details

VAERS ID: 674575 (history)  
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
Died? No
Permanent Disability? Yes
Recovered? 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.

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