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This is VAERS ID 276123

Case Details

VAERS ID: 276123 (history)  
Age: 22.0  
Gender: Female  
Location: New York  
Vaccinated:2007-01-02
Onset:2007-01-02
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:93
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Hypoaesthesia oral
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Gluten intolerance; Food allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00405

Write-up: Information has been received from a certified medical assistant concerning a 22 year old female with an allergy to gluten or wheat who on 02-JAN-2007 was vaccinated intramuscularly with a 0.5 ml (first dose of Gardasil) (lot 654389/0961F). The CMA reported that the patient''s tongue felt numb for several days after her first dose of Gardasil. The patient sought unspecified medical attention. Subsequently, the patient recovered. Additional information has been requested.


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