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This is VAERS ID 263032

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 263032 (history)  
Form: Version .0  
Age: 16.0  
Gender: Female  
Location: Illinois  
Vaccinated:2006-07-07
Onset:2006-07-20
   Days after vaccination:13
Submitted: 2006-08-24
   Days after onset:35
Entered: 2006-09-14
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, INC. U2069AA / 0 UN / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Dehydration, Gait disturbance, Guillain-Barre syndrome, Laboratory test abnormal
SMQs:, Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Demyelination (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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Adderall
Current Illness:
Preexisting Conditions: Attention deficit disorder.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Guillain Barre. She was well on day of immunization but later said she was weak and several months this was not objectively noticed then, but shortly after the vaccine.


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