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This is VAERS ID 279249

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279249
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-05-08
Onset:2007-05-09
Submitted:2007-05-21
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Paralysis

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: Loestrin
Current Illness:
Preexisting Conditions: Biopsy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 21 year old female who had a biopsy on 08-MAY-2007 (reason not reported) and was also vaccinated with Gardasil at 8:00 pm. Concomitant therapy included ethinyl estradiol (+) norethindron"e acetate (LOESTRIN). On 09-MAY-2007 the patient became paralyzed from the neck down while at school and was taken to the emergency room by ambulance. Upon internal review, paralyzed from the neck down was considered to be an other important medical event


Changed on 12/8/2009

279249 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-05-08
Onset:2007-05-09
Submitted:2007-05-21
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Paralysis

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: Loestrin
Current Illness:
Preexisting Conditions: Biopsy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA02623

Write-up:Information has been received from a nurse practitioner concerning a 21 year old female who had a biopsy on 08-MAY-2007 (reason not reported) and was also vaccinated with Gardasil at 8:00 pm. Concomitant therapy included ethinyl estradiol (+) norethindron"e norethindrone acetate (LOESTRIN). On 09-MAY-2007 the patient became paralyzed from the neck down while at school and was taken to the emergency room by ambulance. Upon internal review, paralyzed from the neck down was considered to be an other important medical event event. Additional information has been requested.


Changed on 9/14/2017

279249 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-05-08
Onset:2007-05-09
Submitted:2007-05-21
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Paralysis

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: Loestrin
Current Illness:
Preexisting Conditions: Biopsy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02623

Write-up:Information has been received from a nurse practitioner concerning a 21 year old female who had a biopsy on 08-MAY-2007 (reason not reported) and was also vaccinated with Gardasil at 8:00 pm. Concomitant therapy included ethinyl estradiol (+) norethindrone acetate (LOESTRIN). On 09-MAY-2007 the patient became paralyzed from the neck down while at school and was taken to the emergency room by ambulance. Upon internal review, paralyzed from the neck down was considered to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279249&WAYBACKHISTORY=ON


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