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This is VAERS ID 274303

Case Details

VAERS ID: 274303 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-02-12
Onset:2007-02-14
   Days after vaccination:2
Submitted: 2007-03-14
   Days after onset:27
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Formication, Limb discomfort, Pain in extremity, Sensory disturbance
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN LO
Current Illness: Adverse drug reaction
Preexisting Conditions: Papilloma viral infection; Knee operation; General symptom
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0702USA03567

Write-up: Information has been received from a 24 year old female consumer with a history of prednisone reaction unspecified, and a history of papilloma viral infection, knee surgery 6 weeks for unspecified condition who on 12-FEB-2007 was vaccinated with Gardasil (lot # not reported) injection. Concomitant therapy included ORTHO TRI-CYCLEN LO. On 14-FEB-2007, the patient experienced legs (from mid thigh to mid calf) felt creepy-crawling, uncomfortable especially when laying down, they don''t feel like my legs after receiving the injection. The patient also reported that her arm was very sore for about 3 days after receiving the injection but that went away. At the time of reporting the creepy-crawling feeling, and limb discomfort persisted. No further information was provided at the time of reporting. Additional information has been requested. This is in follow-up to report (s) previously submittedon 3/14/2007. Additional information was received from a nurse practioner. On 19-Feb-2007, seven days after receiving the vaccination, the patient called the office and complained of pain and numbness in both legs for 5 days. The outcome of the pain and numbness was not reported. No additional information is expected.


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