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This is VAERS ID 306721

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

306721
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-11-17
Onset:2008-02-07
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blood immunoglobulin G increased, Blood product transfusion, Computerised tomogram normal, Cough, Culture urine negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 6     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None 4/8/08-records received-PMH: Depression.
Allergies:
Diagnostic Lab Data: 4/8/08-records received-LP normal. MRI brain normal. CT head negative. WBC 16.31, absolute neurtrophils 13.6. M. IgG 2.06. Urine cutlure no growth.
CDC 'Split Type':

Write-up:Information has been received from a physician via a company representative concerning a 17 year old who on an unspecified date was vaccinated with Gardasil IM. On approx 07-FEB-2008, /"about 3 weeks ago/" the patient developed neurological symptoms and"was hospitalized for one week. The neurologist at the hospital diagnosed her with Miller Fisher variance of Guillain-Barre syndrome. At the time of reporting the patient /"improved but she''''s undergoing therapy/" and has not recovered. No further infor


Changed on 12/8/2009

306721 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-11-17
Onset:2008-02-07
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood immunoglobulin G increased, Blood product transfusion, Computerised tomogram normal, Cough, Culture urine negative, Diarrhoea, Dysarthria, Gait disturbance, Lumbar puncture normal, Neutrophil count increased, Nuclear magnetic resonance imaging brain normal, Paraesthesia, Pyrexia, Vision blurred, Vomiting, White blood cell count increased, Neurological symptom

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 6     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None 4/8/08-records received-PMH: Depression.
Allergies:
Diagnostic Lab Data: 4/8/08-records received-LP normal. MRI brain normal. CT head negative. WBC 16.31, absolute neurtrophils 13.6. M. IgG 2.06. Urine cutlure no growth.
CDC 'Split Type': (blank) WAES0802USA06248

Write-up:Information has been received from a physician via a company representative concerning a 17 year old who on an unspecified date was vaccinated with Gardasil IM. On approx 07-FEB-2008, /"about "about 3 weeks ago/" ago" the patient developed neurological symptoms and"was and was hospitalized for one week. The neurologist at the hospital diagnosed her with Miller Fisher variance of Guillain-Barre syndrome. At the time of reporting the patient /"improved "improved but she''''s she''s undergoing therapy/" therapy" and has not recovered. No further infor information was provided. The reporter felt that Miller Fisher variance of Guillain-Barre syndrome was disabling and required hospitalization. Additional information has been requested. 4/8/08-records received for DOS 2/6-2/12/08- DC DX: Guillain-Barre variant. Developed cough and diarrhea week prior to admission. Also had vomiting and fevers. On morning of admission developed tingling in hands and feet and dysarthric speech, blurry vision and difficulty with walking. Treated with IVIG with improvement of ataxia and dysarthria. CDC''s CISA staff has reviewed this case and concluded that this case is not GBS.


Changed on 4/14/2017

306721 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-11-17
Onset:2008-02-07
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood immunoglobulin G increased, Blood product transfusion, Computerised tomogram normal, Cough, Culture urine negative, Diarrhoea, Dysarthria, Gait disturbance, Lumbar puncture normal, Neutrophil count increased, Nuclear magnetic resonance imaging brain normal, Paraesthesia, Pyrexia, Vision blurred, Vomiting, White blood cell count increased, Neurological symptom

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 6     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None 4/8/08-records received-PMH: Depression.
Allergies:
Diagnostic Lab Data: 4/8/08-records received-LP normal. MRI brain normal. CT head negative. WBC 16.31, absolute neurtrophils 13.6. M. IgG 2.06. Urine cutlure no growth.
CDC 'Split Type': WAES0802USA06248

Write-up:Information has been received from a physician via a company representative concerning a 17 year old who on an unspecified date was vaccinated with Gardasil IM. On approx 07-FEB-2008, "about 3 weeks ago" the patient developed neurological symptoms and was hospitalized for one week. The neurologist at the hospital diagnosed her with Miller Fisher variance of Guillain-Barre syndrome. At the time of reporting the patient "improved but she''s undergoing therapy" and has not recovered. No further information was provided. The reporter felt that Miller Fisher variance of Guillain-Barre syndrome was disabling and required hospitalization. Additional information has been requested. 4/8/08-records received for DOS 2/6-2/12/08- DC DX: Guillain-Barre variant. Developed cough and diarrhea week prior to admission. Also had vomiting and fevers. On morning of admission developed tingling in hands and feet and dysarthric speech, blurry vision and difficulty with walking. Treated with IVIG with improvement of ataxia and dysarthria. CDC''s CISA staff has reviewed this case and concluded that this case is not GBS.


Changed on 9/14/2017

306721 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-11-17
Onset:2008-02-07
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1060U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Neurological symptom

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 6     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None 4/8/08-records received-PMH: Depression.
Allergies:
Diagnostic Lab Data: 4/8/08-records received-LP normal. MRI brain normal. CT head negative. WBC 16.31, absolute neurtrophils 13.6. M. IgG 2.06. Urine cutlure no growth.
CDC 'Split Type': WAES0802USA06248

Write-up:Information has been received from a physician via a company representative concerning a 17 year old who on an unspecified date was vaccinated with Gardasil IM. On approx 07-FEB-2008, "about 3 weeks ago" the patient developed neurological symptoms and was hospitalized for one week. The neurologist at the hospital diagnosed her with Miller Fisher variance of Guillain-Barre syndrome. At the time of reporting the patient "improved but she''s undergoing therapy" and has not recovered. No further information was provided. The reporter felt that Miller Fisher variance of Guillain-Barre syndrome was disabling and required hospitalization. Additional information has been requested. 4/8/08-records received for DOS 2/6-2/12/08- DC DX: Guillain-Barre variant. Developed cough and diarrhea week prior to admission. Also had vomiting and fevers. On morning of admission developed tingling in hands and feet and dysarthric speech, blurry vision and difficulty with walking. Treated with IVIG with improvement of ataxia and dysarthria. CDC''s CISA staff has reviewed this case and concluded that this case is not GBS.


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