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This is VAERS ID 283607

Case Details

VAERS ID: 283607 (history)  
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 / 0 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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Noncontributory
Current Illness: None
Preexisting Conditions: Noncontributory
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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