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This is VAERS ID 274303

Case Details

VAERS ID: 274303 (history)  
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 / 0 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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN LO
Current Illness: Adverse drug reaction
Preexisting Conditions: Papilloma viral infection; Knee operation; General symptom
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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