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This is VAERS ID 268017

Case Details

VAERS ID: 268017 (history)  
Age: 16.0  
Gender: Female  
Location: Tennessee  
Vaccinated:2006-09-27
Onset:2006-09-27
   Days after vaccination:0
Submitted: 2006-11-29
   Days after onset:63
Entered: 2006-11-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dyskinesia
SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad)

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

Write-up: Patient developed jerking in upper extremity a few hours after administration of vaccine. Patient was medicated with VALIUM which led to resolution of symptoms.


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