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This is VAERS ID 281086

Case Details

VAERS ID: 281086 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-05
Onset:2007-06-06
   Days after vaccination:1
Submitted: 2007-06-08
   Days after onset:2
Entered: 2007-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 2 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Back pain, Headache, Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (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: None
Current Illness: None
Preexisting Conditions: allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: paraesthesias bilateral arms upon awakening frontal/temporal headache, lower back pain, thighs and arms numb. -All self resolved with in hours


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