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This is VAERS ID 297400

Case Details

VAERS ID: 297400 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-11-09
Onset:2007-11-09
   Days after vaccination:0
Submitted: 2007-11-19
   Days after onset:10
Entered: 2007-11-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Hypoaesthesia, Tachycardia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0711USA02882

Write-up: Information has been received from a physician concerning a female who on 09-NOV-2007 was vaccinated with Gardasil. On 09-NOV-2007 the patient''s arm was red and her arm went numb. The physician sent the patient to the emergency room where she remained for 6 hours. While in the emergency room, the patient developed tachycardia. She was treated with diazepam (Valium) to calm her down. The patient recovered on 10-NOV-2007; however, it was also reported that the patient''s arm was numb for 3 days before the feeling came back. The physician considered the patient''s red arm, numb arm and tachycardia to be disabling. Additional information has been requested.


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