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This is VAERS ID 283764

Case Details

VAERS ID: 283764 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:138
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Limb immobilisation, Paraesthesia, Vaccine positive rechallenge
SMQs:, Peripheral neuropathy (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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0705USA01053

Write-up: Information has been received from a nurse practitioner concerning a 24 year old white female who on 26-JAN-2007 at 1:45 PM was vaccinated IM in the deltoid with the first dose of Gardasil (lot # 653736/0014U). On 26-JAN-2007, at 1:45 PM, during the first injection, the patient complained of tingling and dead arm. It lasted only a short time and was better the same day. On 04-APR-2007 at 10:00 AM, the patient was vaccinated IM in the deltoid with the second dose of Gardasil (lot # 657617/0384U). On 04-APR-2007, at approximately 10:00 AM, with the second injection, the patient experienced the same exact complaints. The patient recovered on the same day. No further information is available. The patient recovered on the same day. It was reported that the "patent was fine when she got home". This is a consolidation of two reports concerning the same patient. No further information is available. Follow-up information indicated that WAES#0705USA00161 is a duplicate of WAES # 0705USA01053. Therefore, WAES # 0705USA0016 is being deleted from our files and the reports consolidated into WAES 0705uSA01053.

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