National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279545

Case Details

VAERS ID: 279545 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Kansas  
Vaccinated:2006-12-01
Onset:2006-12-18
   Days after vaccination:17
Submitted: 2007-05-14
   Days after onset:146
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Paraesthesia, Vaccine positive rechallenge
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05220

Write-up: Information has been received from a physician her 23 year old daughter who in December 2006, was vaccinated with a first dose of Gardasil. On 18-DEC-2006, following the vaccination, the patient developed paraesthesia from the shoulder to elbow. On approximately 25-DEC-2006 the patient recovered. In February 2007, the patient was vaccinated with a second dose of Gardasil. On 14-FEB-2007, following the vaccination, the patient developed paraesthesia from the shoulder to elbow. On approximately 21-FEB-2007, the patient recovered. No further information is available.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279545


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166