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This is VAERS ID 284496

Case Details

VAERS ID: 284496 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Virginia  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:20
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Headache, Pain in extremity, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (broad)

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: Drug hypersensitivity; Convulsion disorder; Graves disease; Bipolar disorder; Anxiety
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0705USA05188

Write-up: This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a health professional and a physician concerning an 18 year old female patient with drug hypersensitivity to morphine, convulsion disorder, graves disase, bipolar disorder and anxiety who on 25-MAY-2007 at 7:30 am was vaccinated in left arm with a second dose of GARDASIL (lot # 0212U). One hour after the injection the patient experienced tingling of her right and left fingers, hands, lips and bridge of her nose and eyelids, left arm sorness, and headache. On 25-MAY-2007, the patient recovered from tingling of her right and left fingers, hands, lips, and bridge of her nose and eyelids, left arm sorness and headache.The patient sought unspecified medical attention. No further information is available. Additional information is not expected.

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