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This is VAERS ID 295176

Case Details

VAERS ID: 295176 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-10-31
Entered: 2007-11-01
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Gait disturbance, Hypoaesthesia, Pain in extremity
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doryx
Current Illness: Acne
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0710USA05676

Write-up: Information has been received from a physician, concerning her relative, a "15 or 16" year old female student with acne, who on an unknown date was vaccinated with the second dose of Gardasil (lot # not provided). Concomitant therapy included doxycycline byclate (DORYX). Following the vaccination, the student experienced arm pain, lightheadedness, generalized body numbness and a shuffling gait. The student also planned to see her family physician. At the time of this report, the student had not recovered from the events. The physician considered the events to be disabling, as the student had missed time in school. Additional information has been requested.

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