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This is VAERS ID 500640

Case Details

VAERS ID: 500640 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Foreign  
Vaccinated:2010-03-01
Onset:2010-04-01
   Days after vaccination:31
Submitted: 2013-08-27
   Days after onset:1244
Entered: 2013-08-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Encephalitis autoimmune, General physical health deterioration, Headache, Immunoglobulin therapy, Intensive care, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1308ISR009992

Write-up: This spontaneous report as received from a gynecologist refers to a 22 year old female patient with no history of sexual activity who was married with a young male with no history of sexual activity, both were not at risk group for HPV. In March 2010, the patient was possibly vaccinated with the first dose of GARDASIL (Lot # not reported, expiration date and route not specified). The physician reported that in April 2010, after one month of vaccination, following a day of hiking the patient complained to her husband at the evening about a headache and within a short time the patient lost consciousness. The patient was hospitalized at the intensive care unit under the diagnosis of autoimmune inflammation of the brain. Despite intensive treatments that included immunoglobulin therapy and wide and global consultations the patient''s condition deteriorated and the patient passed away after several days in April 2010. No post-mortem autopsy was performed. The physician felt that severe autoimmune inflammation of the brain was not related to vaccination with GARDASIL. The physician stated that hospital''s physicians did not relate the event to vaccination with GARDASIL and it was never raised as a cause. The reporter stated that the patient''s sister mentioned at one point that might be the patient was not vaccinated with GARDASIL after all and only had a prescription at that time. Additional information has been requested.


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