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This is VAERS ID 273631

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273631
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-26
Onset:2007-01-23
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Clumsiness, Coordination abnormal, Demyelination, Diplopia, Balance disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: magnetic resonance 02/23/07 - revealed demyelination (other results not available), spinal tap 02/23/07 - (other results not available)
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and no drug reactions or allergies, who on 26-DEC-2006 was vaccinated with a 0.5 mL dose of Gardasil (Lot not reported). There was no concomit"ant medication. On 23-Jan-2007 the patient developed numbness of her face which eventually spread to her hands and legs. The patient was treated with prednisone and acyclovir. The numbness partially cleared but she then developed double vision, weakness o


Changed on 12/8/2009

VAERS ID: 273631 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-26
Onset:2007-01-23
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Clumsiness, Coordination abnormal, Demyelination, Diplopia, Hemiparesis, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Balance disorder, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: magnetic resonance 02/23/07 - revealed demyelination (other results not available), spinal tap 02/23/07 - (other results not available)
CDC 'Split Type': (blank) WAES0702USA04566

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and no drug reactions or allergies, who on 26-DEC-2006 was vaccinated with a 0.5 mL dose of Gardasil (Lot not reported). There was no concomit"ant concomitant medication. On 23-Jan-2007 the patient developed numbness of her face which eventually spread to her hands and legs. The patient was treated with prednisone and acyclovir. The numbness partially cleared but she then developed double vision, weakness o of her right side, unbalance, decreased coordination and clumsiness of her hands. The patient sought unspecified medical attention. On 23-FEB-2007 the patient had a magnetic resonance imaging (MRI), which revealed demyelination and a spinal tap (results not available yet). The physician stated that the patient was starting to get better but was told the patient''s parents stopped the Gardasil vaccine series. The dose of Gardasil vaccine was administered by the patient''s primary care physician (PCP). The reporter considered the patient''s numbness of her face, hands and legs, double vision, weakness of her right side, imbalance, decreased coordination, clumsiness of her hands and demyelination to be other important medical events. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 273631 Before After
Age:15.0 14.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-26
Onset:2007-01-23
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Clumsiness, Coordination abnormal, Demyelination, Diplopia, Hemiparesis, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Balance disorder, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: magnetic resonance 02/23/07 - revealed demyelination (other results not available), spinal tap 02/23/07 - (other results not available)
CDC 'Split Type': WAES0702USA04566

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and no drug reactions or allergies, who on 26-DEC-2006 was vaccinated with a 0.5 mL dose of Gardasil (Lot not reported). There was no concomitant medication. On 23-Jan-2007 the patient developed numbness of her face which eventually spread to her hands and legs. The patient was treated with prednisone and acyclovir. The numbness partially cleared but she then developed double vision, weakness of her right side, unbalance, decreased coordination and clumsiness of her hands. The patient sought unspecified medical attention. On 23-FEB-2007 the patient had a magnetic resonance imaging (MRI), which revealed demyelination and a spinal tap (results not available yet). The physician stated that the patient was starting to get better but was told the patient''s parents stopped the Gardasil vaccine series. The dose of Gardasil vaccine was administered by the patient''s primary care physician (PCP). The reporter considered the patient''s numbness of her face, hands and legs, double vision, weakness of her right side, imbalance, decreased coordination, clumsiness of her hands and demyelination to be other important medical events. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 273631 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-26
Onset:2007-01-23
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Clumsiness, Coordination abnormal, Demyelination, Diplopia, Hemiparesis, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Balance disorder, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: magnetic resonance 02/23/07 - revealed demyelination (other results not available), spinal tap 02/23/07 - (other results not available)
CDC 'Split Type': WAES0702USA04566

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and no drug reactions or allergies, who on 26-DEC-2006 was vaccinated with a 0.5 mL dose of Gardasil (Lot not reported). There was no concomitant medication. On 23-Jan-2007 the patient developed numbness of her face which eventually spread to her hands and legs. The patient was treated with prednisone and acyclovir. The numbness partially cleared but she then developed double vision, weakness of her right side, unbalance, decreased coordination and clumsiness of her hands. The patient sought unspecified medical attention. On 23-FEB-2007 the patient had a magnetic resonance imaging (MRI), which revealed demyelination and a spinal tap (results not available yet). The physician stated that the patient was starting to get better but was told the patient''s parents stopped the Gardasil vaccine series. The dose of Gardasil vaccine was administered by the patient''s primary care physician (PCP). The reporter considered the patient''s numbness of her face, hands and legs, double vision, weakness of her right side, imbalance, decreased coordination, clumsiness of her hands and demyelination to be other important medical events. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 273631 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-26
Onset:2007-01-23
Submitted:2007-03-07
Entered:2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Clumsiness, Coordination abnormal, Demyelination, Diplopia, Hemiparesis, Hypoaesthesia, Lumbar puncture, Nuclear magnetic resonance imaging abnormal, Balance disorder, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: magnetic resonance 02/23/07 - revealed demyelination (other results not available), spinal tap 02/23/07 - (other results not available)
CDC 'Split Type': WAES0702USA04566

Write-up:Information has been received from a physician concerning a 15 year old female with no pertinent medical history and no drug reactions or allergies, who on 26-DEC-2006 was vaccinated with a 0.5 mL dose of Gardasil (Lot not reported). There was no concomitant medication. On 23-Jan-2007 the patient developed numbness of her face which eventually spread to her hands and legs. The patient was treated with prednisone and acyclovir. The numbness partially cleared but she then developed double vision, weakness of her right side, unbalance, decreased coordination and clumsiness of her hands. The patient sought unspecified medical attention. On 23-FEB-2007 the patient had a magnetic resonance imaging (MRI), which revealed demyelination and a spinal tap (results not available yet). The physician stated that the patient was starting to get better but was told the patient''s parents stopped the Gardasil vaccine series. The dose of Gardasil vaccine was administered by the patient''s primary care physician (PCP). The reporter considered the patient''s numbness of her face, hands and legs, double vision, weakness of her right side, imbalance, decreased coordination, clumsiness of her hands and demyelination to be other important medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273631&WAYBACKHISTORY=ON


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