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This is VAERS ID 449334

Case Details

VAERS ID: 449334 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2009-01-01
Onset:2011-08-27
   Days after vaccination:968
Submitted: 2012-02-09
   Days after onset:166
Entered: 2012-02-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2011-08-27
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC Split Type: WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


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