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This is VAERS ID 283803

Case Details

VAERS ID: 283803 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01987

Write-up: Information has been received from a medical assistant and a 23 year old medical secretary concerning herself who on 18-SEP-2006 was vaccinated intramuscularly with the first 0.5 mL dose of Gardasil (lot #"069F"). On 28-SEP-2006, the patient was vaccinated intramuscularly with the second 0.5 mL dose of Gardasil (lot #653937/0637F). On 22-FEB-2007 the patient was vaccinated with the third dose of Gardasil (lot #653937/0637F). The patient reported that she "experienced a 20 minute period of parasthesia (numbness and tingling) in the arm after the first and second dose of the vaccine were administered." Patient stated she "did not have the same experience after receiving the third dose." The patient sought unspecified. The patient recovered. There was no product quality complaint. Additional information has been requested.

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