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This is VAERS ID 276911

Case Details

VAERS ID: 276911 (history)  
Form: Version 1.0  
Age: 19.0  
Sex: Female  
Location: Florida  
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:44
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Military
Symptoms: Hypoaesthesia, Vaginal haemorrhage
SMQs:, Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Asthma; Morbid obesity; Peanut allergy
Preexisting Conditions: Injury
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05176

Write-up: Information has been received from a physician concerning a 19 year old female who was vaccinated with an IM, third dose with Gardasil. Subsequently the patient experienced numbness in legs. Subsequently, the patient recovered from numbness in legs. It was reported the patient had no problems following the first 2 doses. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Initial and follow up information has been received from a physician concerning a 19 year old female with asthma, morbid obesity and peanut allergy and a history of orthopedic injuries from previous falls who on 26-FEB-2007 was vaccinated in her left arm with a third dose of GARDASIL (lot# 655849/0263U) at 11:00. On 27-FEB-2007 at 10:00 the patient experienced light vaginal bleeding that was between her menstrual cycles and numbness in both legs. Subsequently, the patient in one week recovered from light vaginal bleeding and numbness in both legs after 7 days. The patient did not seek medical attention until several weeks after these symptoms. No further information is available.

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