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This is VAERS ID 284494

Case Details

VAERS ID: 284494 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-21
Onset:2007-05-21
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:24
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 2 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hypoaesthesia, Paraesthesia
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: None
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0705USA05147

Write-up: Information has been received from a physician concerning a 14 year old female who on 27-MAR-2007 was vaccinated with a first dose of Gardasil (lot not reported) and a second dose on 21-MAY-2007 (Lot# 657737/0522U). There were no concomitant medications. During this second injection on 21-MAY-2007 the patient experienced tingling and numbness in her arm immediately upon injection which continued for the rest of the day. It was her entire arm, but "not to the point of non-function". She needed no prescription treatment and subsequently recovered from tingling in arm and numbness in her arm. Additional information has been requested.


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