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This is VAERS ID 276255

Case Details

VAERS ID: 276255 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-12
Entered: 2007-04-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Diplegia, Guillain-Barre syndrome, Pain
SMQs:, Peripheral neuropathy (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA01230

Write-up: Information has been received from a pediatric physician concerning a 14 year old female who was vaccinated with a dose of GARDASIL. Subsequently the patient developed Guillain-Barre syndrome which he thought was "pain and paralysis in the legs" or a "nerve-related syndrome that can last between 6 months to a year." Unspecified medical attention was sought. The patient''s outcome was unknown. Upon internal review, Guillain-Barre syndrome was considered to be an other important medical event. Additional information has been requested.


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