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This is VAERS ID 675260

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2017

675260
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2016-05-10
Submitted:2016-12-28
Entered:2016-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Disturbance in attention, Dizziness, Fatigue, Head discomfort, Headache, Hypersomnia, Injection site pruritus, Muscular weakness, Nuclear magnetic resonance imaging, Pruritus, Sleep disorder, Abasia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IE0095075131612IRL010990

Write-up:Initial report was received by on 07-DEC-2016 from member of the public (MOP) which concerns her daughter a 13 year old female patient who experienced Headache, Muscular weakness, Arthralgia, Dizziness, Disturbance in attention, Pruritus, Sleep disorder & Fatigue following vaccination with Gardasil for prophylaxis. Concomitant medications: MENINGITIS & TDAP vaccines administered at the same time. Medical history/concurrent conditions: The patient had all her other injections without any adverse reactions. The patient was a healthy child who rarely had to attend a GP. The patient was vaccinated with GARDASIL on an unspecified date (no other information provided). On 10-MAY-2016 (reported as 13 days post injection) the patient started experiencing severe headaches, arm and leg weakness and joint pain, severe dizziness, cannot concentrate, itchy arms particularly worse at site of vaccination. The reporter indicated that the patient feels someone is constantly banging the side of her head and when her symptoms are severe she is unable to walk around and has to constantly sleep with the exhaustion of dealing withy constant pain. The patient symptoms were ongoing at the time of reporting and were reported to come in bouts for 4-6 weeks at a time. Corrective treatment: SUMATRIPTAN 200mg daily for a period of time - no relief, Nurofen, PARACETAMOL, Migralief, Sudafed and nasal spray. The patient has also undergone an MRI & blood tests - results not provided at time of reporting.


Changed on 9/14/2017

675260 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2016-05-10
Submitted:2016-12-28
Entered:2016-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Arthralgia, Disturbance in attention, Dizziness, Fatigue, Head discomfort, Headache, Hypersomnia, Injection site pruritus, Muscular weakness, Nuclear magnetic resonance imaging, Pruritus, Sleep disorder, Abasia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Prophylaxis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': IE0095075131612IRL010990

Write-up:Initial report was received by on 07-DEC-2016 from member of the public (MOP) which concerns her daughter a 13 year old female patient who experienced Headache, Muscular weakness, Arthralgia, Dizziness, Disturbance in attention, Pruritus, Sleep disorder & Fatigue following vaccination with Gardasil for prophylaxis. Concomitant medications: MENINGITIS & TDAP vaccines administered at the same time. Medical history/concurrent conditions: The patient had all her other injections without any adverse reactions. The patient was a healthy child who rarely had to attend a GP. The patient was vaccinated with GARDASIL on an unspecified date (no other information provided). On 10-MAY-2016 (reported as 13 days post injection) the patient started experiencing severe headaches, arm and leg weakness and joint pain, severe dizziness, cannot concentrate, itchy arms particularly worse at site of vaccination. The reporter indicated that the patient feels someone is constantly banging the side of her head and when her symptoms are severe she is unable to walk around and has to constantly sleep with the exhaustion of dealing withy constant pain. The patient symptoms were ongoing at the time of reporting and were reported to come in bouts for 4-6 weeks at a time. Corrective treatment: SUMATRIPTAN 200mg daily for a period of time - no relief, Nurofen, PARACETAMOL, Migralief, Sudafed and nasal spray. The patient has also undergone an MRI & blood tests - results not provided at time of reporting.


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