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This is VAERS ID 675003

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2017

VAERS ID: 675003
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2016-01-25
Onset:0000-00-00
Submitted:2016-10-12
Entered:2016-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Colonoscopy, Computerised tomogram, Constipation, Dizziness, Dysmenorrhoea, Endoscopy, Heart rate increased, Nausea, Nuclear magnetic resonance imaging, Pain, Panic attack, Tachycardia, Scan, Postural orthostatic tachycardia syndrome, Body temperature fluctuation

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: Codeine phosphate
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data: Body temperature (unspecified date): fluctuation; Heart rate (unspecified date): increased
CDC 'Split Type': WAES1610GBR004060

Write-up:Information has been received from Sanofi Pasteur MSD (manufacturer control # 2016010086) on 11-OCT-2016, as a part of business agreement. This report was received from consumer/other non health professional via the RA on 06-Oct-2016 under reference number GB-MHRA-ADR 23667325. A 13-year-old female adolescent patient who received GARDASIL (batch number unknown) via parenteral route on 25-JAN-2016. The patient received concomitant administration of Codeine Phosphate on an unknown date. The patient experienced severe stomach pains, aches, nausea, POTS, dizziness, tachycardia, panic attacks, menstrual pains, constipation, temperature fluctuations on an unknown date. The patient was admitted several times to hospital on an unspecified date. Additional investigations included body temperature (fluctuation), computerized tomogram, endoscopy, nuclear magnetic resonance imaging, colonoscopy, heart rate (increased) and scan on an unknown date (result not provided). The patient''s outcome was reported as Not Recovered/Not Resolved.


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