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Found 102 cases where Location is Texas and Vaccine is HPV or HPV2 or HPV4 and Serious

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VAERS ID: 300066 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-11-12
Onset:0000-00-00
Submitted: 2007-12-14
Entered: 2007-12-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0106U / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-11-25
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: Obesity
Preexisting Conditions: Asthma, morbid obesity, smoker, occasional ETOH. OCP unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0712USA02658

Write-up: Information has been received from a physician concerning a large female who received one dose of Gardasil. Subsequently, the patient was found dead in her truck from a blood clot that traveled from her legs to her lungs. The cause of death was reported to be a blood clot. Additional information has been requested. 3/5/08 Autopsy states COD as pulmonary thromboembolus w/deep vein thrombosis of right leg & obesity as contributing factor.


VAERS ID: 306720 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-06-01
Onset:2007-06-01
   Days after vaccination:0
Submitted: 2008-03-07
   Days after onset:280
Entered: 2008-03-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Postpartum depression, Pregnancy test
SMQs:, Depression (excl suicide and self injury) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: albuterol; AMOXIL; ZYRTEC; ADVAIR; HISTUSSIN D; SINGULAIR; prednisone
Current Illness: Pregnancy NOS (LMP = 2/1/2007)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: beta-human chorionic
CDC Split Type: WAES0802USA06245

Write-up: Information has been received from a medical assistant concerning a 16 year old female, who on 01-JUN-2007 was vaccinated IM with a 0.5mL first dose of Gardasil. Concomitant suspect therapy included motelukast sodium. Other concomitant therapies included ZYRTEC, albuterol, ADVAIR, HISTUSSIN D, AMOXIL and prednisone. On 19-AUG-2007 the patient was vaccinated with a second dose of Gardasil. On 01-SEP-2007 the patient found out that she was thirty weeks pregnant. The patient was seen at the office. A pregnancy test was performed at home and in the office. The patient''s last menstrual period was approximately in February 2007 and her estimated delivery date was in November 2007. The patient gave birth in November 2007. On 08-NOV-2007 the patient was hospitalized due to postpartum depression. At the time of the report, the outcomes of the patient and the baby were unknown. Additional information has been requested.


VAERS ID: 306722 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-06-26
Onset:2007-06-26
   Days after vaccination:0
Submitted: 2008-03-07
   Days after onset:255
Entered: 2008-03-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0245U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Abdominal pain, Asthenia, Decreased appetite, Delivery, Drug exposure during pregnancy, Feeling hot, Pregnancy test urine positive
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: urinalysis 02/27/08 - positive
CDC Split Type: WAES0802USA06337

Write-up: Information has been received from a physician concerning a 15 year old female who on 26-JUN-2007 was vaccinated with a first dose of GARDASIL (lot# 656050/0245U) IM and on 22-SEP-2007 was vaccinated with a second dose of GARDASIL (lot# 657006/0188U) IM while being pregnant. The patient came into the physician''s office on 27-FEB-2008 the patient experienced complaints of abdominal pain, felt weak, feeling hot and a poor appetite. The patient was sent home and delivered a full term 6 pound baby in the bathroom on 27-FEB-2008. The patient and the baby are currently in the hospital on 28-FEB-2008. (It was unknown when the patient admitted to the hospital). The baby was a little anemic otherwise healthy. No additional information was provided. The reporter felt that complaints of abdominal pain, felt weak, feeling hot and a poor appetite required hospitalization. Additional information has been requested.


VAERS ID: 312479 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-04-04
Onset:2008-05-01
   Days after vaccination:27
Submitted: 2008-05-16
   Days after onset:15
Entered: 2008-05-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 3 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Acute myeloid leukaemia, Biopsy bone marrow abnormal, Hepatic enzyme increased, Malaise, Nausea, Pancytopenia, Vomiting, Weight decreased
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Agranulocytosis (narrow), Haematopoietic cytopenias affecting more than one type of blood cell (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Malignant lymphomas (broad), Myelodysplastic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Haematological malignant tumours (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 24 days
   Extended hospital stay? Yes
Previous Vaccinations: none~ ()~~0.00~In Patient|none~ ()~~0.00~In Sibling
Other Medications: none
Current Illness: none
Preexisting Conditions: none. PMH: none
Allergies:
Diagnostic Lab Data: pancytopenia, increased liver enzymes; bone marrow biopsy on 5-5-08 showed acute myelogenous leukemia;Gardasil series: 9-26-07, 11-21-07 & 4-4-08 (#13does not allow Gardasil to be entered). Labs and Diagnostics: Urine dipstick orange with small bili, 15 ketones, protein 100, urobilinogen 4. Rapid strep (-). Total bili 2.0. CBC with WBC 3.1, RBC 2.4, Hgb 7.8, Hct 25.1, platelets 69. MCV high at 104.7 and nucleated RBCs 8/100. Hep profile all (-)( Hep A IgM, Hep B core IgM, Hep B surf AG, Hep C antibody). Labs and Diagnostics: CBC on admission with WBC 3.0, RBC 3.26, Hgb 10.6, Hct 29.7, platelets 60K. WBC dropped to a low of 0.3 recovering to 8.2 by d/c. platelets peaked at 110K, down to 36K by d/c. RBC, Hct, and Hgb remained at admission levels throughout admission. LFTs elevated. Vit B12$g1500. HLA testing done. Blood cx (-). Sputum (+) for yeast. Stool (+) for occult blood. NPM1 gene mutation (+). CT abd & pelvis (+) for pancolitis and prominent retroperitoneal lymph nodes. Repeat (+) for ascites. head CT with paranasal sinus mucosal thickening. MUGA scan WNL. LUE Dopplar (+) for patially occlusive thrombus, no DVT on R. Pelvic sono (+) for bladder distention. Abd sono (+) for biliary duct dilitation.
CDC Split Type:

Write-up: weight loss, nausea & vomiting, malaise. 5/20/08 Office records received including vax record. Seen for sick visit 5/01/08 with c/o nausea, vomiting, and stomach feeling whoozy x 1 month. Impression Nausea & Vomiting. Tx with metoclopramide. Seen again 5/5/08 with c/o sore throat, nausea, back pain. Impression: N&V, Bilirubinuria, pancytopenia. Referral made to Oncologist. 07/01/2008 MR received for DOS 05/7-31/2008 with D/C DX: Acute Myeloid Leukemia. Pt presented with pancytopenia for eval to r/o acute leukemia. Bone marrow bx confirmed AML. Started on chemo which initially was well tolerated but later developed severe abdominal c/o with hematochezia. DX with pancolitis, likely infectious. Pt had intermittent high fevers and hypotension. Pt developed a clot in her PICC line and it was removed. Blood counts somewhat recovered and pt d/c 5/31/08.


VAERS ID: 312938 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-11-12
Onset:2008-01-05
   Days after vaccination:54
Submitted: 2008-05-21
   Days after onset:136
Entered: 2008-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2825AA / UNK RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Arthralgia, Blood test normal, Chest X-ray normal, Convulsion, Headache, Loss of consciousness, Lumbar puncture normal, Musculoskeletal stiffness, Myalgia, Nuclear magnetic resonance imaging normal
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Clarinex and Singulair
Current Illness: NONE
Preexisting Conditions: Allergies 6/2/08-records received-December with strep. 7/2/08-2 episodes of pneumonia, underlying reactive airway disease, allergies and an episode of strep.
Allergies:
Diagnostic Lab Data: Lumbar Puncture-negative. MRI head-negative. C-spine (MRI)-negative. chest x-ray-negative. extensive blood work-negative. 6/2/08-records received-MRI spinal tap negative. 7/2/08-records received-MRI head and brain no acute intracranial process. MRI C-spine normal except for mild straightening of cervical curvature associated with muscle strain or spasm. Myoglobin normal, CK normal, ANA negative, ASO titer normal. CBC normal, CSF normal. Blood and urine cultures no growth.
CDC Split Type:

Write-up: 7 weeks after HPV #2 patient blacked out and c/o severe headache, stiff neck. Admitted to hospital (after ER visit) all tests were negative. She has since had several seizures and c/o muscle and joint pain so severe she has missed 3 weeks of school. 6/2/08-records received for DOS 1/30/08-C/O morning stiffness, fatigue neck and back hurt. Back pain began in January. Knees, ankles hurt since January, tender to touch. Last week with fever 102 and diarrhea. PE WNL. Assessment: Pain 7/2/08-records received for DOS 1/6-1/9/08-DC DX: neck stiffness, headache, joint pain, cervical muscle spasm. C/O blacking out and nausea next day followed by headache and paleness. Next day increased neck stiffness and shooting pains down shoulder.


VAERS ID: 315576 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-10-22
Onset:2007-12-04
   Days after vaccination:43
Submitted: 2008-06-05
   Days after onset:183
Entered: 2008-06-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 3 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Grand mal convulsion, Nuclear magnetic resonance imaging normal
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none PMH: had seizure 1 yr prior, neuro w/u inconclusive. Former meth & marijuana use. Psoriasis, eczema, HA, dizziness, blurred vision, confusion, difficulty concentrating, lethargy, slurred speech, dry eyes, poor handwriting. PE tubes in childhood. Family hx: alzheimer''s, parkinson''s, DM.
Allergies:
Diagnostic Lab Data: Normal MRI; EEG pending 6/17/08 Reviewed hospital labs. CBC WNL. Chemistry WNL except calcium 8.5(L). Urine drug screen (-). UA w/(+)ketones. CT head WNL. MRI brain WNL but w/ linear right lateral temporal anomaly thought to be insignificant. EEG WNL.
CDC Split Type:

Write-up: Grand mal seizure occurred 1 month after GARDASIL #3. 8/22/08 Reviewed ER medical records of 12/2/2007. FINAL DX: seizures Records reveal patient experienced seizure in car (passenger) on way to school w/LOC & laceration of tongue. Was postictal & confused. no incontinence. Neuro consult by phone. Loaded w/anti-seizure med & was to be seen in neuro office next day. 4/8/09 Received Neuro consult 6/9-12/15/2008. FINAL DX: idiopathic generalized tonic-clonic & partial seizure disorder Records reveal patient experienced recurrent seizures 4/08 & had stopped antiseizure meds prior. Meds changed. Again stopped meds 6/08 & had partial seizure.


VAERS ID: 317120 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-05-01
Onset:2007-06-01
   Days after vaccination:31
Submitted: 2008-06-23
   Days after onset:388
Entered: 2008-06-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Amenorrhoea, Convulsion, Vaccine positive rechallenge, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Fertility disorders (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: LOESTRIN
Current Illness:
Preexisting Conditions: Apgar score low; Hearing loss 7/10/08-records received-Onset of syncope 2 years ago,
Allergies:
Diagnostic Lab Data: 7/10/08-records received-MRI-chronic white matter disease likely from birth. EEG normal.
CDC Split Type: WAES0806USA03438

Write-up: Information has been received from a physician concerning an 18 year old female with a history of Apgar score low and congenital hearing loss who in May 2007, was vaccinated with a first dose of GARDASIL 0.5 mL IM. Concomitant therapy included LOESTRIN. In June 2007, the patient experienced a grand mal seizure. The patient received her second dose of GARDASIL in July 2007. In July 2007 and August 2007 the patient experienced a seizure again and was hospitalized. The patient was seen by a neurologist. The neurologist prescribed the patient KLONOPIN. Subsequently the patient experienced 15 pound weight loss and amenorrhea. The patient was then seen by a psychiatrist who stated that he believed the seizures were due to physiological and prescribed additional medications (therapy unspecified). At the time of reporting the patient was recovering. No additional information was available. The reporter considered the events of grand mal seizure, seizure, weight loss and amenorrhea to be other medical events. Additional information has been requested. 7/9/08-records received-evaluation 1/4/08-fainting spells and seizures-Impression:conversion disorder with mixed presentation with symptoms of motor and sensory deficits as well as psychogenic seizures. Experiencing extreme psychological stress unable to deal with, derives secondary gain from the symptoms and gain attention. 7/10/08-records received for DOS 8/13/07- 8/17/07-Assessment:spells, these do not seem to be seizure with maintined consciousness during the spells. Consider psychosomatic etiology. Onset of syncope 2 years ago, circumstances of syncope burning sensation followed by altered sensorium, recalls the entire envents which last 10-12 minutes). Increasing in frequency, college entrance examination. Developed stuttering speech pattern, crying spells and jerking spell while in waiting room. 8/31/07-Condition improved. 7/10/08-records received for DOS 8/9-8/12/07-DC DX: epilepsy. Prolonged complex seizures. Somnolent due to phenobarital.


VAERS ID: 318289 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Female  
Location: Texas  
Vaccinated:2008-05-06
Onset:0000-00-00
Submitted: 2008-07-03
Entered: 2008-07-07
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Impaired work ability, Injected limb mobility decreased, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0806USA08616

Write-up: Information has been received from a physician concerning a 21 year old female who on an unspecified date was vaccinated with a first dose of GARDASIL. On 06-MAY-2008 the patient was vaccinated IM into the deltoid with a second 0.5ml dose of GARDASIL. The patient developed unspecified arm pain at an unspecified time after the injection and inability to raise the arm above the shoulder level which caused her disability from her work. The patient sought treatment with a chiropractor. At the time of the report the patient was not recovered. The physician considered the unspecified arm pain and inability to raise the arm above the shoulder level to be disabling. Additional information has been requested.


VAERS ID: 318636 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-07-09
Entered: 2008-07-10
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Live birth, Ultrasound scan, Urinary tract infection
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 9/3/2007)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound
CDC Split Type: WAES0802USA04515

Write-up: Information has been received from a nurse, for the Pregnancy Registry for GARDASIL, concerning a 16 year old female who on 31-MAY-2007 was vaccinated with her first dose of GARDASIL (route and lot# not provided). On 31-JUL-2007 the patient was vaccinated with her second dose of GARDASIL (route and lot# not provided). On 09-NOV-2007 the patient was vaccinated with her third dose of GARDASIL (route and lot# not provided). Subsequently, it was reported that the patient had a sonogram (date unspecified) and was pregnant (Gestation 6.5 months, LMP 03-SEP-2007). Follow up information received stated that on 18-FEB-2008 that patient was diagnosed with a bacterial urine infection and was treated with MACROBID 1 tablet, PO, BID for 7 days. The outcome of the bacterial UTI was not reported. On 09-MAY-2008 at 38 6/7 weeks gestation the patient gave birth to a male infant 6 pounds 7.7 oz., 19.3 inches, the babies Apgar score was reported as 1. It was reported that the baby was born with an unspecified infection which was treated with unspecified antibiotics. It was reported that the baby "had a hard time breathing and stayed in the hospital for 1 week". Additional information regarding the prolonged hospitalization of the baby was not provided. Additional information has been requested.


VAERS ID: 319289 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-07-15
Entered: 2008-07-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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: Unknown
Current Illness:
Preexisting Conditions: Surgical procedure
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0807USA01601

Write-up: Information has been received from a physician concerning a female with a history of dental procedure in which paralysis occurred who was vaccinated with GARDASIL IM. The patient developed paralysis after vaccination. The patient was considered to be disabling. The patient sought medical attention. Additional information has been requested.


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