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This is VAERS ID 689343

Case Details

VAERS ID: 689343 (history)  
Form: Version 1.0  
Gender: Male  
Location: Unknown  
Submitted: 2017-04-04
Entered: 2017-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Unknown
Symptoms: Acne, Anogenital warts, Arthralgia, Autoimmune disorder, Disability, Feeling abnormal, Muscle tightness, Nervous system disorder, Pain in extremity, Papilloma viral infection, Paraesthesia, Tension
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: US0095075131703USA014588

Write-up: This spontaneous report was received from a male patient currently in his 40''s (reported as 40 plus years old) reporting on himself. The patient''s medical history, concurrent conditions, drug reactions/allergies and concomitant medications were not reported. On an unknown date, the patient received injections from multiple bottles and he belief that one of them may had been a dose of GARDASIL route reported as injection, as prophylaxis (Strength, dose, lot # and expiration date were not reported), however, it was also reported that the physician told the patient that he was not given GARDASIL. On an unknown date, the patient experienced joint pains (arthralgia), his hands were painful and disabled for over 20 days (pain in extremity), he experienced tingling in his arms and they tense up (paraesthesia), when he was asleep, his muscles tighten up (muscle tightness), he developed human papillomavirus (HPV 1) (papilloma viral infection), genital warts (anogenital warts) and pimples (acne), when he exercises he felt like his body was being injured (feeling abnormal), autoimmune issues (autoimmune disorder) and nerve problems (nervous system disorder). The patient was given 2 bottles of (VALTREX) for the HPV 1 but it did not work. The patient received unspecified treatment for the other events. The outcome of autoimmune disorder, arthralgia, paraesthesia, muscle tightness, acne, anogenital warts, papilloma viral infection, feeling abnormal, nervous system disorder and pain in extremity was unknown. The reporter did not provide the causality between the events and GARDASIL. The event autoimmune issues was determined to be medically significant. Additional information is not expected as no contact details were provided.

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