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This is VAERS ID 675329

History of Changes from the VAERS Wayback Machine

First Appeared on 2/14/2017

VAERS ID: 675329
Age:
Gender:Female
Location:Foreign
Vaccinated:2014-03-24
Onset:2014-03-24
Submitted:2016-10-31
Entered:2016-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Epstein-Barr virus infection, Bedridden, Post viral fatigue syndrome

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Baclofen; azithromycin; lansoprazole
Current Illness: Immunodeficiency common variable, variable immune deficiency; Immunisation
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1610GBR015251

Write-up:Information was received from Sanofi Pasteur (manufacturer control # 2016010903) as part of a business agreement on 28-OCT-2016. This case was received from the RA on 26-OCT-2016 under the reference number GB-MHRA-ADR 23693153. Case received from a consumer/other non health professional. A 15-year-old female adolescent patient received GARDASIL, (batch number unknown) via parenteral route on 24-MAR-2014, GARDAIL, (batch number unknown) via parenteral route on 28-JUL-2014. The patient received concomitant administration of: -Baclofen on an unknown date, -Azithromycin on an unknown date, -Lansoprazole on an unknown date. The patient was firstly bed ridden after second was told this was unusual (onset date 24-MAR-2014). She also experienced Epstein-Barre virus infection and post viral fatigue syndrome on an unknown date. The patient had a medical history of immunodeficiency common variable. The patient''s outcome was reported as Not Recovered/Not Resolved.


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