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This is VAERS ID 674998

Case Details

VAERS ID: 674998 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2016-10-12
Entered: 2016-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Asthma, Bedridden, Chronic fatigue syndrome, Coeliac disease, Cognitive disorder, Postural orthostatic tachycardia syndrome, Sensory disturbance
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Peripheral neuropathy (narrow), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Dehydration (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: Human papilloma virus immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1610GBR004260

Write-up: Information has been received from Sanofi Pasteur MSD (SPM) (manufacturer control no. GB-1577272925-2016010090) on 11-OCT-2016. This report was received from the agency on 06-Oct-2016 under reference number GB-MHRA-ADR 23667457. Case received from a consumer/other non health professional concerning a 13-year-old female adolescent patient who received GARDASIL, batch number unknown via parenteral route on an unknown date. The patient experienced chronic fatigue syndrome, postural orthostatic tachycardia syndrome, allergic asthma, coeliac disease, cognitive disorder (patient could not read or watch television), sensory disturbance (extreme sensitivity to sense stimuli) and bedridden on an unknown date. The patient was admitted to hospital on an unspecified date. The outcome of chronic fatigue syndrome was recovered/resolved with sequelae, postural orthostatic tachycardia syndrome, allergic asthma, coeliac disease was not recovered/not resolved, cognitive disorder, sensory disturbance and bedridden was unknown. The patient patient''s overall outcome was reported as unknown.

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