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This is VAERS ID 278503

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278503
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Epstein-Barr virus antibody negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers
CDC 'Split Type':

Write-up:Guillain Barre


Changed on 12/8/2009

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 4/7/2010

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 12/7/2010

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 4/13/2011

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 5/13/2011

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 6/11/2011

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 6/14/2014

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


Changed on 5/14/2017

VAERS ID: 278503 Before After
Age:15.0
Gender:Female
Location:Connecticut
Vaccinated:2007-04-12
Onset:2007-04-23
Submitted:2007-05-09
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Areflexia, Blepharospasm, CSF protein increased, Electromyogram, Full blood count, Guillain-Barre syndrome, Inspiratory capacity decreased, Lumbar puncture, Paraesthesia, Epstein-Barr virus antibody negative, Mycoplasma serology positive, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: LP< EMG - CBC, General , + mycoplasma titers records received 6/20/07-Mycoplasma positive. EBV negative. CSF showed high protein and normal cells. NIF scores 30.
CDC 'Split Type':

Write-up:Guillain Barre 6/20/07-records received from facility for DOS 4/29-5/5/07- DC DX: Guillain-Barre Syndrome. Presented with paresthesia for 1 weeks. First noticed having a left eye twitch and numbness to left face preceded by tingling and paresthesias of fingers and toes. Treated with IVIg. Only mild residuals at discharge. PE:neuro fair strength in upper extremities and lower extremities, absent reflexes mainly in lower extremities. No sensory deficit, downgoing plantars, no muscle wasting. Gait peroneal.


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