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Write-up: Information has been received from SPMSD [case report # DK-1577272925-E2015-09009] on 04-NOV-2016. Case received from non-healthcare professional via Agency on 09-JUL-2015 under the reference number DK-DKMA-ADR 23004465 and DK-DKMA-EFO12159. The primary reporter was a non-healthcare professional. A 16-years-old female patient (weight: 60kg; height: 176cm) had received an unspecified dose of GARDASIL (batch number not reported) via IM. route of administration in not reported site of administration on unspecified date and later on 01-AUG-2014 she developed more or less daily headache, migraine attacks often several days when she needed to be in bed, sounds and light sensitivity, nausea, dizziness, mood swings, pronounced tiredness and lissing energy, suddenly sad without reason, pain in neck and back, cold hands and feet, sudden sweaty palms often switch between freezing and sweating, often mild cold "runny nose", severe menstruation pain often with migraine attack in several days, often cramp in legs, feets and arms, itch skin and is very easy stressed. The patient has not been hospitalized due to the reaction. The patient has received the following treatment for the reaction. Medicine, chiropractor, neurologist, brain scan. Other medicines: Not known. The patient has no other health problems. At the time of reporting, the patient had not recovered. Follow up information received on 11-AUG-2015 from HA. The HA received follow up information from the patient via mail. The following has been changed in the case based on the follow up: Onset date of the reactions are changed from 01-AUG-2014 to 01-SEP-2013. Follow up received from Patient Insurance Company (PIC) via HA on 31-OCT-2016: Drug: GARDASIL. Description of the pharmaceutical injury: The father has applied for compensation for the pharmaceutical injury he claims that the daughter has suffered from after receiving 3 GARDASIL vaccinations. The father that the pharmaceutical injury has caused the patient to suffer from: Pronounced tiredness, Drowsiness, concentration problems, headache on a daily basis, nausea, dizziness, mood swings, pruritus, stress, pain in back and pain in neck, pain in several places in the body and many more. The patient had no other concomitant medication. The patient is still being treated for the pharmaceutical injury (blood tests and strong medication with various vitamin pills and changed of diet etc.) at the syncope center at the hospital. The patient has been on sick leave (stayed at home some times due to adverse events and has not been able to pass her education). Notes: Gluten free diet and vitamin supplements. The adverse events from the vaccines has affected the patient who earlier was an elite sports dancer etc. to such extent that she can no longer practice sports. Case information and medical records: According to the medical records from GP on 26-MAR-2010 the patient had fever, headache and pain in throat, neck, legs and muscles. Since she had an elevated infection number treatment with antibiotics was started. The following notes are regarding bee sting, menstrual pain and pain in the left knee. On 16-AUG-2012, 16-OCT-2012 and 16-APR-2013 the patient received the HPV-vaccinations. On 23Oct2012 the patient told the GP that she had migraine and tension headache. The patient also had pain in the jaw, neck and shoulders and a feeling of being alternately cold and sweating. It was assessed that her condition could be due to the migraine which she also had a family history of. The patient was handed a headache journal and was referred to neurologist. On 26-MAR-2014 the patient was examined by neurologist. It was noted that the patient had been having migraine since childhood but that it had increased the last two years. It was further believed that the patient possibly had a overuse of PANODIL and IPREN which she has informed about. The patient was instead put in treatment with Topiramate. The patient was further referred to MRI scan of the b
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