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This is VAERS ID 679765

Case Details

VAERS ID: 679765 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2017-01-27
Entered: 2017-01-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Unknown
Symptoms: Arthralgia, Blood pressure fluctuation, Eating disorder, Heart rate irregular, Immediate post-injection reaction, Nausea, Postural orthostatic tachycardia syndrome, Sleep disorder, Swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (broad), Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow), Hypersensitivity (narrow), Arthritis (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No previous exposure to drug NOS
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: IE0095075131701IRL010658

Write-up: Initial report was received by the regulatory authority on 05/Jan/2016 from a member of the public which concerns a 22 year old female patient who experienced Swelling, Nausea, Eating disorder, Sleep disorder, Heart rate irregular & Blood pressure fluctuation following vaccination with Gardasil for Prophylaxis. Concomitant medications: None. Medical history/concurrent conditions: The reporter indicated that the patient had no previous drug reactions. The patient was vaccinated with Gardasil at a dose of 0.5ml in her left deltoid on 30/Sep/2011. Post vaccination the patient experienced swelling, nausea, an eating disorder, sleep disorder, serious joint pain, heart rate and blood pressure irregularities & Postural orthostatic tachycardia syndrome (POTS). Some of these reactions developed immediately and some developed later and were slowly diagnosed. The patient has undergone numerous tests and POTS was eventually diagnosed. At the time of reporting the patient''s symptoms were still ongoing. On further review of the initial case details by the regulatory authority it was noted that the patient''s age at time of reporting was 22, with no information provided on the patient''s age at the time of the event. The batch number was amended from GO05669 to G005669. The reporter considered all the events to be serious, medically significant due to disability.

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