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This is VAERS ID 283607

Case Details

VAERS ID: 283607 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-06-07
Onset:2007-06-11
   Days after vaccination:4
Submitted: 2007-07-02
   Days after onset:21
Entered: 2007-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 1 GM / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site rash
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow)

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

Write-up: Administered dose of Gardasil 06/07/07 to right gluteus. Notified office, via telephone, on 06/11/07 of 3 episodes numbness in RLE and site rash since injection. Went to ER 06/12/07 w/c/o RUE, RLE numbness.


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