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This is VAERS ID 304664

Case Details

VAERS ID: 304664 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Tennessee  
Vaccinated:2007-12-31
Onset:2007-12-31
   Days after vaccination:0
Submitted: 2008-02-08
   Days after onset:39
Entered: 2008-02-11
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Cerebrovascular accident, Paralysis, Walking aid user
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 21 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0802USA00845

Write-up: Information has been received from a physician concerning a 16 year old female who on approximately 31-DEC-2007 was vaccinated with the first dose of Gardasil and experienced a stroke. The patient was admitted to the hospital where she remained for 3 weeks. The patient experienced an unspecified partial paralysis. After 3 weeks, the patient was discharged and could walk with the assistance of a walker. As of 04-FEB-2008, the patient was recovering. The physician felt that the stroke and partial paralysis were disabling. No further information is available.


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