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This is VAERS ID 681370

History of Changes from the VAERS Wayback Machine

First Appeared on 6/14/2017

681370
VAERS Form:
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2016-02-23
Submitted:2017-02-06
Entered:2017-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chronic fatigue syndrome, Dizziness, Fatigue, Tachycardia, Postural orthostatic tachycardia syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Routine childhood immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GB0095075131702GBR001295

Write-up:This spontaneous report as received from a consumer via the Agency (HA # EYC 00152376) refers to a 15 year old female patient. The patient''s medical history, concurrent conditions and concomitant medications were not reported. In 2013, the patient was vaccinated with the first dose of GARDASIL (parenteral; dose, lot # and expiration date were not reported) as routine childhood immunisation. In 2014, the patient was vaccinated with the second dose of GARDASIL (parenteral; dose, lot # and expiration date were not reported). On 23-FEB-2016, the patient experienced chronic fatigue syndrome (CFS) and postural orthostatic tachycardia syndrome (POTS). On an unknown date, the patient experienced dizziness. Seek advice details: tachycardia, dizziness and fatigue. The patient had a visit to accident and emergency 3 times. The patient had seen pediatrician and cardiologist and was waiting for nuclear magnetic resonance imaging (MRI) on heart. The outcome of the adverse events of chronic fatigue syndrome (CFS) and postural orthostatic tachycardia syndrome (POTS) was reported as not recovered. The outcome of dizziness was unknown. The relatedness between the adverse events and GARDASIL was not provided. The Agency considered the adverse events to be medically significant and disabling.


Changed on 9/14/2017

681370 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2016-02-23
Submitted:2017-02-06
Entered:2017-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chronic fatigue syndrome, Dizziness, Fatigue, Tachycardia, Postural orthostatic tachycardia syndrome

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Routine childhood immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GB0095075131702GBR001295

Write-up:This spontaneous report as received from a consumer via the Agency (HA # EYC 00152376) refers to a 15 year old female patient. The patient''s medical history, concurrent conditions and concomitant medications were not reported. In 2013, the patient was vaccinated with the first dose of GARDASIL (parenteral; dose, lot # and expiration date were not reported) as routine childhood immunisation. In 2014, the patient was vaccinated with the second dose of GARDASIL (parenteral; dose, lot # and expiration date were not reported). On 23-FEB-2016, the patient experienced chronic fatigue syndrome (CFS) and postural orthostatic tachycardia syndrome (POTS). On an unknown date, the patient experienced dizziness. Seek advice details: tachycardia, dizziness and fatigue. The patient had a visit to accident and emergency 3 times. The patient had seen pediatrician and cardiologist and was waiting for nuclear magnetic resonance imaging (MRI) on heart. The outcome of the adverse events of chronic fatigue syndrome (CFS) and postural orthostatic tachycardia syndrome (POTS) was reported as not recovered. The outcome of dizziness was unknown. The relatedness between the adverse events and GARDASIL was not provided. The Agency considered the adverse events to be medically significant and disabling.


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