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This is VAERS ID 274577

Case Details

VAERS ID: 274577 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: California  
Vaccinated:2006-11-07
Onset:2006-11-07
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:126
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0702USA03997

Write-up: Information has been received from a nursing supervisor concerning a female (age not reported) who on an unspecified date was vaccinated with HPV. 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. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow up information confirmed that the patient had recovered on approximately 05-Nov-2007 ("next day") and felt fine. On 07-Feb-2007, the patient was vaccinated with the second dose of GARDASIL, and "was fine." Additional information is not expected.


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