National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 277114

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277114
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Asthenia, Sensory loss, Syncope, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from physician''''s assistant concerning a 16 year old female who was vaccinated intramuscularly with a 0.5 ml dose of Gardasil. it was reported that the patient was seen in the emergency room and the patient /"collapsed, expe"rienced weakness, sensory loss in extremities and the patient could not walk/" after receiving Gardasil. The patient was hospitalized and the length of hospitalization was unknown. At the time of the report, it was unknown, if the patient recovered. The r


Changed on 12/8/2009

VAERS ID: 277114 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Sensory loss, Syncope, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 0 (blank)     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA03052

Write-up: Information has been received from physician''''s physician''s assistant concerning a 16 year old female who was vaccinated intramuscularly with a 0.5 ml dose of Gardasil. it was reported that the patient was seen in the emergency room and the patient /"collapsed, expe"rienced "collapsed, experienced weakness, sensory loss in extremities and the patient could not walk/" walk" after receiving Gardasil. The patient was hospitalized and the length of hospitalization was unknown. At the time of the report, it was unknown, if the patient recovered. The r reporter considered collapsed, experienced weakness, sensory loss in extremities and could not walk to be disabling. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 277114 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Sensory loss, Syncope, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03052

Write-up: Information has been received from physician''s assistant concerning a 16 year old female who was vaccinated intramuscularly with a 0.5 ml dose of Gardasil. it was reported that the patient was seen in the emergency room and the patient "collapsed, experienced weakness, sensory loss in extremities and the patient could not walk" after receiving Gardasil. The patient was hospitalized and the length of hospitalization was unknown. At the time of the report, it was unknown, if the patient recovered. The reporter considered collapsed, experienced weakness, sensory loss in extremities and could not walk to be disabling. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 277114 Before After
VAERS Form:1
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Sensory loss, Syncope, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03052

Write-up: Information has been received from physician''s assistant concerning a 16 year old female who was vaccinated intramuscularly with a 0.5 ml dose of Gardasil. it was reported that the patient was seen in the emergency room and the patient "collapsed, experienced weakness, sensory loss in extremities and the patient could not walk" after receiving Gardasil. The patient was hospitalized and the length of hospitalization was unknown. At the time of the report, it was unknown, if the patient recovered. The reporter considered collapsed, experienced weakness, sensory loss in extremities and could not walk to be disabling. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 277114 Before After
VAERS Form:1
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Sensory loss, Syncope, Abasia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA03052

Write-up: Information has been received from physician''s assistant concerning a 16 year old female who was vaccinated intramuscularly with a 0.5 ml dose of Gardasil. it was reported that the patient was seen in the emergency room and the patient "collapsed, experienced weakness, sensory loss in extremities and the patient could not walk" after receiving Gardasil. The patient was hospitalized and the length of hospitalization was unknown. At the time of the report, it was unknown, if the patient recovered. The reporter considered collapsed, experienced weakness, sensory loss in extremities and could not walk to be disabling. Additional information has been requested.

New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277114&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166