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This is VAERS ID 276159

Case Details

VAERS ID: 276159 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-04-06
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Cyanosis, Dizziness, Erythema, Hypoaesthesia, Myalgia, Rash, Skin discolouration
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA01012

Write-up: Information has been received from a physician concerning a female who was vaccinated with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). Ten days after HPV rL1 6 11 16 18 VLP vaccine (yeast) was administered, the patient developed numb fingers and hands, fingers turned red and blue, muscle aches, rash and dizziness. Unspecified medical attention was sought. As of 06, Mar 2007, the patient''s numb fingers and hands and fingers turned red and blue, muscle, aches, rash and dizziness persisted. Additional information has been requested.

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