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This is VAERS ID 276858

Case Details

VAERS ID: 276858 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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:
Current Illness: Diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04141

Write-up: Information has been received from a consumer, via a company representative, concerning the consumer''s 19 year old daughter, with diabetes, who was vaccinated with a dose, 0.5ml, of Gardasil (date unspecified). Concomitant therapy included hepatitis A virus vaccine (unspecified). The mother reported that her daughter experienced "tingling in her fingertips after receiving Gardasil. The patient sought unspecified medical attention. Additional information is not expected.


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