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This is VAERS ID 284490

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284490
VAERS Form:
Age:25.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-25
Onset:2007-05-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Hypoaesthesia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOVIA 1/50E
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory - blood test
CDC 'Split Type':

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 patien"t 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


Changed on 12/8/2009

284490 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-25
Onset:2007-05-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hypoaesthesia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOVIA 1/50E
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory - blood test
CDC 'Split Type': (blank) 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 patien"t 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.


Changed on 9/14/2017

284490 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-25
Onset:2007-05-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOVIA 1/50E
Current Illness:
Preexisting Conditions: None
Allergies:
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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