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This is VAERS ID 264950

Case Details

VAERS ID: 264950 (history)  
Age: 57.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2006-09-19
Onset:2006-10-03
   Days after vaccination:14
Submitted: 2006-10-16
   Days after onset:13
Entered: 2006-10-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0039F / 0 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0296R / - RA / SC

Administered by: Other       Purchased by: Other
Symptoms: Chest pain, Hypoaesthesia, Lymphadenopathy, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Valve Proplase in distant past, neg heart cath 2 yrs ago.
Diagnostic Lab Data:
CDC Split Type:

Write-up: 09/19/2006 MMR and HBV adm 1, 10/03/2006 swollen glands, numbness and tingling of arm and legs bilat. Pt called hotline and states she was told this was from the MMR. 10/15/06 chest pain. Pt wonders if this is related to immunizations.


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