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This is VAERS ID 276531

Case Details

VAERS ID: 276531 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-04-16
   Days after onset:45
Entered: 2007-04-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Drug administered at inappropriate site, Facial palsy
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Medication errors (narrow)

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: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA01485

Write-up: Information has been received from a certified nurse midwife, via a company representative, concerning a 25 year old female patient who on 01-MAR-2007 was vaccinated in the hip, with the first dose of GARDASIL (Lot #02630 - invalid). There was no concomitant medication. The nurse stated that on 27-MAR-2007, the patient developed Bell''s palsy on the left side of her face, and added that the "patient''s face is uncontrolled." The nurse confirmed that the patient visited the ER, but the date and details were not provided at the time of this report. Bell''s palsy was considered to be disabling by the reporter. Additional information has been requested.

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