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This is VAERS ID 273808

Case Details

VAERS ID: 273808 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-01-19
Onset:2007-01-20
   Days after vaccination:1
Submitted: 2007-02-01
   Days after onset:12
Entered: 2007-03-12
   Days after submission:38
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 1 UN / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Asthenia, Headache, Hypersomnia, Hypoaesthesia, Hypokinesia, Laboratory test, Pain in extremity, Paraesthesia, Sensory disturbance, Vision blurred
SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: all tests came back normal records received 3/30/07-EKG normal. CXR normal.
CDC Split Type: M12007004

Write-up: 1/31/07 tc from mother-states patient had HPV vaccine 1/19/07 on 1/20/07 c/o achy arms. Developed headache that comes and goes and blurred vision the comes and goes. On 1/26/07 c/o weakness-couldn''t move-went to hosp ER-was in ER for 8 hours. No convulsion for use of symptoms. Able to move now but has charge of sensation of left side. Mom states had been sleeping a lot. 2/21/07-Return call from mom. Completed form with available info, lasted 6 days-numbness/tingling. 03/30/07-records received from reporter. PE:WNL Pain when walking able to walk with some poor effort on examination but grossly normal musculoskeletal exam. Dehydration, musculoskeletal pain. Orthostatic blood pressure mostly likely due to poor oral intake. Sore throat and nasal congestion. Numbness in toes and feel and intermittent blurring of vision and seemed confused. Tired. Mother concerned about possible bipolar disorder. Multiple stressors in home life. Recommended mental health care provider


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