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This is VAERS ID 275251

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 275251 (history)  
Form: Version .0  
Age: 17.0  
Gender: Female  
Location: California  
Vaccinated:2007-03-15
Onset:2007-03-15
   Days after vaccination:0
Submitted: 2007-03-29
   Days after onset:14
Entered: 2007-03-30
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Activities of daily living impaired, Muscle twitching, Musculoskeletal stiffness, Pain in extremity, Tourette''s disorder
SMQs:, Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: Initial and follow-up information has been received from a Medical Assistant concerning a 17 year old female patient who on 15-MAR-2007 was vaccinated IM with her first dose of Gardasil, lot #654702/0011U. The reporter reported soon after the injection /""her arm hurt really bad/" and was stiff. On 16-MAR-2007 the patient developed sporadic twitching of her whole body. The reporter stated that the patient /"looked as if she had Tourette syndrome. /" On 17-MAR-2007 the patient was examined in the emergency


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