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This is VAERS ID 279595

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279595
Age:16.0
Gender:Female
Location:Connecticut
Vaccinated:2007-05-08
Onset:2007-05-15
Submitted:2007-05-23
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood immunoglobulin G increased, Cough, CSF cell count normal, Demyelination, Fall

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: numbness or tingling of fingers
Preexisting Conditions: Exercise induced asthma, poor vision, tingling of fingers not successful
Diagnostic Lab Data: MRI - demyelinating disease of white matter cerebri and spinal cord cervical
CDC 'Split Type':

Write-up:Gardasil HPV vaccine Administered on 05/08/07 cough on 05/14/07 vomiting 5/15/07 morning at school, sweating followed by syncope few minutes no Tonic-Clonic seizure. MRI done in ER showed Demyelinated Foci in Occipital, L temporal lobes and R frontal L


Changed on 12/8/2009

VAERS ID: 279595 Before After
Age:16.0
Gender:Female
Location:Connecticut
Vaccinated:2007-05-08
Onset:2007-05-15
Submitted:2007-05-23
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood immunoglobulin G increased, Cough, CSF cell count normal, Demyelination, Fall, Granulocyte count increased, Head injury, Hyperhidrosis, Hypoaesthesia, Multiple sclerosis, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Syncope, Vomiting, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: numbness or tingling of fingers
Preexisting Conditions: Exercise induced asthma, poor vision, tingling of fingers not successful records received-7/5/07- PMH: asthma
Diagnostic Lab Data: MRI - demyelinating disease of white matter cerebri and spinal cord cervical records received 7/5/07-CT and MRI head were abnormal shows periventricular white matter lesions. MRI spine showed inactive C5 white matter lesion. Labs, CBC WNL,
CDC 'Split Type': (blank) CT200708

Write-up:Gardasil HPV vaccine Administered on 05/08/07 cough on 05/14/07 vomiting 5/15/07 morning at school, sweating followed by syncope few minutes no Tonic-Clonic seizure. MRI done in ER showed Demyelinated Foci in Occipital, L temporal lobes and R frontal L 7/5/07-records received from facility for DOS 05/18-05/23/07-DC DX: Multiple Sclerosis. Previously healthy femal who was admitted due to a lesion seen on brain MRI. Patient reports symtoms became in December when she started having numbness in left thumb and slowly spread down her hands and arms. Also had some funny feeling in lower back. Symptoms resolved. Since then she has intermittent numbness with more than 50 episodes per day last less than 1 minutes. On 5/14 she started having nonproductive cough and sore throat, and posttussive vomiting the day after. Felt tingling over her left hand, right fingers and toes for less than 1 minute. Lightheaded, fell and hit her head. Out for almost 10 minutes. Disoriented.


Changed on 2/14/2017

VAERS ID: 279595 Before After
Age:16.0
Gender:Female
Location:Connecticut
Vaccinated:2007-05-08
Onset:2007-05-15
Submitted:2007-05-23
Entered:2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0210U / 0 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood immunoglobulin G increased, Cough, CSF cell count normal, Demyelination, Fall, Granulocyte count increased, Head injury, Hyperhidrosis, Hypoaesthesia, Multiple sclerosis, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Syncope, Vomiting, Red blood cell sedimentation rate normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: numbness or tingling of fingers
Preexisting Conditions: Exercise induced asthma, poor vision, tingling of fingers not successful records received-7/5/07- PMH: asthma
Diagnostic Lab Data: MRI - demyelinating disease of white matter cerebri and spinal cord cervical records received 7/5/07-CT and MRI head were abnormal shows periventricular white matter lesions. MRI spine showed inactive C5 white matter lesion. Labs, CBC WNL, with gran % 71.9. ESR, CSF normal. IGG 1656.
CDC 'Split Type': CT200708

Write-up:Gardasil HPV vaccine Administered on 05/08/07 cough on 05/14/07 vomiting 5/15/07 morning at school, sweating followed by syncope few minutes no Tonic-Clonic seizure. MRI done in ER showed Demyelinated Foci in Occipital, L temporal lobes and R frontal L 7/5/07-records received from facility for DOS 05/18-05/23/07-DC DX: Multiple Sclerosis. Previously healthy femal who was admitted due to a lesion seen on brain MRI. Patient reports symtoms became in December when she started having numbness in left thumb and slowly spread down her hands and arms. Also had some funny feeling in lower back. Symptoms resolved. Since then she has intermittent numbness with more than 50 episodes per day last less than 1 minutes. On 5/14 she started having nonproductive cough and sore throat, and posttussive vomiting the day after. Felt tingling over her left hand, right fingers and toes for less than 1 minute. Lightheaded, fell and hit her head. Out for almost 10 minutes. Disoriented.


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