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This is VAERS ID 277667

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277667
VAERS Form:
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-20
Onset:2007-04-20
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Facial palsy, Hypoaesthesia facial

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALTREX
Current Illness: Herpes simplex; chronic sinusitis
Preexisting Conditions: Ear infection
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her 18 year old female, daughter with chronic sinusitis and herpes simplex (cold sores in her mouth) and a history of ear infections who in February 2007 was vaccinated by injection with the first d"ose of Gardasil. Concomitant therapy included VALTREX. On 20-APR-2007, the patient was vaccinated by injection with the second dose of Gardasil. Within a few hours, after receiving the second dose of approximately, 20-APR-2007, the patient felt something


Changed on 12/8/2009

277667 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-20
Onset:2007-04-20
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Facial palsy, Hypoaesthesia facial

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALTREX
Current Illness: Herpes simplex; chronic sinusitis
Preexisting Conditions: Ear infection
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05029

Write-up:Information has been received from a consumer concerning her 18 year old female, daughter with chronic sinusitis and herpes simplex (cold sores in her mouth) and a history of ear infections who in February 2007 was vaccinated by injection with the first d"ose dose of Gardasil. Concomitant therapy included VALTREX. On 20-APR-2007, the patient was vaccinated by injection with the second dose of Gardasil. Within a few hours, after receiving the second dose of approximately, 20-APR-2007, the patient felt something strange on the right side of her face. Initially, she felt some numbness. Subsequently, the numbness was accompanied by some paralysis on the right side of her face. She went to her physician and she was diagnosed with a mild case of bells palsy. At the time of the report, the patient had not recovered. Upon internal review, it was determined that Bell''s palsy was considered on other important medical event. Additional information has been requested.


Changed on 9/14/2017

277667 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-20
Onset:2007-04-20
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Facial palsy, Hypoaesthesia facial

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: VALTREX
Current Illness: Herpes simplex; chronic sinusitis
Preexisting Conditions: Ear infection
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05029

Write-up:Information has been received from a consumer concerning her 18 year old female, daughter with chronic sinusitis and herpes simplex (cold sores in her mouth) and a history of ear infections who in February 2007 was vaccinated by injection with the first dose of Gardasil. Concomitant therapy included VALTREX. On 20-APR-2007, the patient was vaccinated by injection with the second dose of Gardasil. Within a few hours, after receiving the second dose of approximately, 20-APR-2007, the patient felt something strange on the right side of her face. Initially, she felt some numbness. Subsequently, the numbness was accompanied by some paralysis on the right side of her face. She went to her physician and she was diagnosed with a mild case of bells palsy. At the time of the report, the patient had not recovered. Upon internal review, it was determined that Bell''s palsy was considered on other important medical event. Additional information has been requested.


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