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This is VAERS ID 284624

Case Details

VAERS ID: 284624 (history)  
Age: 12.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-06-05
Onset:2007-06-07
   Days after vaccination:2
Submitted: 2007-07-12
   Days after onset:35
Entered: 2007-07-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Tic
SMQs:, Dyskinesia (broad), Dystonia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: ADHD
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Simple motor tic- shrugging shoulder, persistent x 1 month, 1st noted approximately 2d after Gardasil vaccine.


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