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This is VAERS ID 275250

Case Details

VAERS ID: 275250 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-15
Onset:2007-03-18
   Days after vaccination:3
Submitted: 2007-03-29
   Days after onset:11
Entered: 2007-03-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, Gait disturbance, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: STRATTERA, ZOLOFT, TOPAMAX
Current Illness: Penicillin allergy; sulfonamide allergy; Attention deficit/hyperactivity disorder; Anxiety; Migraine
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04262

Write-up: Information has been received from a physician concerning her 18 year old daughter with penicillin and sulfonamide allergy, attention deficit/hyperactivity disorder, anxiety and migraine who on 15-MAR-2007 was vaccinated, intramuscularly, with a dose of Gardasil. Concomitant therapy included TOPAMAX, STRATTERA and ZOLOFT. On 18-MAR-2007 the patient experienced "soreness in her legs" and her "knees and ankles began to hurt. "The patient took ibuprofen for the symptoms. On 20-MAR-2007, the patient was not able to attend school. It was reported that she was "not walking normally" and "walking like an old lady." Unspecified medical attention was sought. There was no laboratory or diagnostic test performed. At the time of the report, the symptoms had not resolved. The physician considered "knees and ankles began to hurt" and "soreness in her legs" to be disabling events.


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