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This is VAERS ID 277814

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277814
VAERS Form:
Age:16.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-16
Onset:2007-04-17
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
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 a physician concerning a 16 year old female (also reported as 18 year old ) who on 16-APR-2007 was vaccinated with a dose of Gardasil. Since 1 day post-injection, the patient had progressive bilateral leg numbness and we"akness and motor weakness. The physician inquired about the possibility of Guillian Barre Syndrome. At the time of this report, the outcome was unknown. Upon internal review, progressive bilateral leg numbness and weakness and motor weakness were consider


Changed on 12/8/2009

277814 Before After
VAERS Form:
Age:16.0 18.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-16
Onset:2007-04-17
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05024

Write-up:Information has been received from a physician concerning a 16 year old female (also reported as 18 year old ) who on 16-APR-2007 was vaccinated with a dose of Gardasil. GARDASIL. Since 1 day post-injection, the patient had progressive bilateral leg numbness and we"akness weakness and motor weakness. The physician inquired about the possibility of Guillian Barre Syndrome. At the time of this report, the outcome was unknown. Upon internal review, progressive bilateral leg numbness and weakness and motor weakness were consider considered to be other important medical events. No further information is available.


Changed on 9/14/2017

277814 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-16
Onset:2007-04-17
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome, Hypoaesthesia, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05024

Write-up:Information has been received from a physician concerning a 16 year old female (also reported as 18 year old ) who on 16-APR-2007 was vaccinated with a dose of GARDASIL. Since 1 day post-injection, the patient had progressive bilateral leg numbness and weakness and motor weakness. The physician inquired about the possibility of Guillian Barre Syndrome. At the time of this report, the outcome was unknown. Upon internal review, progressive bilateral leg numbness and weakness and motor weakness were considered to be other important medical events. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277814&WAYBACKHISTORY=ON


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