National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 675039

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2017

VAERS ID: 675039
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2014-11-11
Onset:2014-11-19
Submitted:2016-10-18
Entered:2016-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K002758 / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Complex regional pain syndrome

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: Human papilloma virus immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1610GBR008283

Write-up:Information has been received from a physician via the agency (agency # GB-MHRA-ADR 23677507) referring to a 13 year old female patient. The patient''s medical history, concurrent condition and concomitant medication were unknown. On 11-NOV-2014 the patient was vaccinated with quadrivalent human papillomavirus (types 6, 11, 16, 18) recomb. Vaccine (manufacturer unknown) (batch/lot # K002758, expiration date and dose were unknown, intramuscular). On 19-NOV-2014, the patient experienced suspected complex regional pain syndrome. On an unknown date, the patient was admitted to hospital following numerous investigations. The patient was diagnosed with complex regional pain syndrome. At the time of reporting, the event persisted while limb was improving. Causality was not reported. The agency considered the event to be disabling and medically significant.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=675039&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166