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This is VAERS ID 284490

Case Details

VAERS ID: 284490 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: New Jersey  
   Days after vaccination:23
Submitted: 2007-06-14
   Days after onset:27
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Blood test, Hypoaesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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: ZOVIA 1/50E
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: diagnostic laboratory - blood test
CDC Split Type: WAES0705USA04962

Write-up: Information has been received from a physician concerning a 25 year old female patient with no medical history or allergies, who on 25-APR-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included Zovia 1/50E. It was noted the patient received the vaccine at another practice. On 18-MAY-2007, the patient experienced numbness in the left leg which spread to the left foot. The numbness has since spread to all of her extremities. The numbness was sporadic and there was no pattern to the numbness. The patient was examined by an internist (name unspecified) who has ordered blood tests (unspecified). At the time of this report the patient has not recovered. No product quality complaint was involved. The internist suspected that Gardasil may be responsible for the numbness. Additional information has been requested.

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