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This is VAERS ID 284540

Case Details

VAERS ID: 284540 (history)  
Age:   
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05760

Write-up: Information has been received from a registered nurse concerning a female who was vaccinated IM with a 0.5 mL dose of Gardasil. Subsequently, post vaccination, the patient experienced tingling of the same arm she was vaccinated. The patient sought unspecified medical attention. The patient''s outcome was unknown. Additional information has been requested.


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