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This is VAERS ID 270247

Case Details

VAERS ID: 270247 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Louisiana  
   Days after vaccination:1
Submitted: 2007-01-05
   Days after onset:37
Entered: 2007-01-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Muscular weakness, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations:
Other Medications: CIPRO
Current Illness:
Preexisting Conditions: Urinary tract infection.
Diagnostic Lab Data: Eosinophil count 11/29/06 complete blood cell 1/29/06, WBC count 11/29/06 all normal.
CDC Split Type: WAES0612USA00464

Write-up: Information has been received from a physician concerning a 19 year old female with a urinary tract infection who on 28 Nov 2006 at 10:15 was vaccainted IM in the left deltoid with the first dose Gardasil (lot#653938/0954F). Concomitant therapy included CIPRO. On 29 Nov 2006 the patient developed a rash on her face and weakness in her legs and arms. Laboratory results completed the same day included complete blood cell count, blood eosinophilic leukocyte count and white blood cell count which were all normal. Subsequently, the patient "slowly" recovered from the rash and weakness in her arms and legs. Additional information has been requested.

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