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This is VAERS ID 281897

Case Details

VAERS ID: 281897 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:13
Entered: 2007-06-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Facial pain, Facial palsy, Facial paresis, Pain in extremity, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Glaucoma (broad), Cardiomyopathy (broad), Hearing impairment (broad), Hypotonic-hyporesponsive episode (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA01210

Write-up: Information has been received from a health professional concerning a 26 year old female with no medical history or allergies, who in June 2007, was vaccinated with a dose of Gardasil. There was no concomitant medication. In June 2007, the patient experienced severe pain in her arm, fainted, facial weakness, Bells Palsy, and facial pain after being vaccinated with Gardasil. The patient did go to the ER however, was not admitted to the hospital. At the time if this report, the patient had not recovered. No product quality complaint was involved. Severe pain in arm, fainted, facial weakness, Bells Palsy, and facial pain were considered to be disabling. Additional information is not expected.

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