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This is VAERS ID 274207

Case Details

VAERS ID: 274207 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:76
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Sensation of heaviness, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Penicillin allergy; Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA01781

Write-up: Information has been received from a nursing supervisor concerning a 20 year old female who has an allergy to penicillin and minoglycine who on 27-Dec-2008 at 12:15 was vaccinated with GARDASIL (lot# 695165/1425F). On 27-DEC-2006 at 12:15, the patient reported that "when she was given the shot she felt it go down her arm and her arm felt heavy all day long. "The next day her arm was better. No product quality complaint was involved. Subsequently, the patient reported that her arm felt dead. At the time of this report, the outcome of the event was unknown. Additional information has been requested.

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