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This is VAERS ID 274236

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274236
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccinat"ion, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that /"blood studies/" and /"agency reported/" had norma


Changed on 12/8/2009

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV
CDC 'Split Type': (blank) WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccinat"ion, vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that /"blood studies/" "blood studies" and /"agency reported/" "agency reported" had norma normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 6/2/2010

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 8/31/2010

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Full blood count normal, Paraesthesia, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 1/4/2011

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Full blood count normal, Paraesthesia, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 4/13/2011

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 5/13/2011

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 6/11/2011

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 6/14/2014

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 5/14/2017

274236 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased, C-reactive protein increased, Chest X-ray normal, Computerised tomogram abnormal, Computerised tomogram normal, CSF culture negative, Culture urine negative, Ecchymosis, Eosinophil count increased, Epistaxis, Full blood count normal, Paraesthesia, Polyneuropathy, Pyrexia, Sinusitis, Red blood cell sedimentation rate increased, Musculoskeletal stiffness, Haematology test normal, Synovial fluid analysis abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


Changed on 9/14/2017

274236 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-16
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Full blood count normal, Paraesthesia, Haematology test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV IgG 4.75, C-RP 5.8. CT paranasal sinuses: chronic sinusitis. CT cervical spine: negative. CXR negative 3/4/09-lab reports received for 2/26/07- synovial fluid glucose 55, protein 32.
CDC 'Split Type': WAES0703USA02171

Write-up:Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccination, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that "blood studies" and "agency reported" had normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.


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