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This is VAERS ID 279635

Case Details

VAERS ID: 279635 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-25
Onset:2007-02-25
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:77
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Headache, Hypoaesthesia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA06257

Write-up: Information has been received from a physician concerning a 20 year old female who on approximately 25-FEB-2007 was vaccinated with Gardasil. On approximately 25-FEB-2007 the patient experienced numbness, headache, dizziness and muscle tenderness. After one week, the patient recovered. On 24-APR-2007 the second vaccination with Gardasil was given. Additional information has been requested.


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