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This is VAERS ID 314881

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

314881
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-03-17
Onset:2008-03-26
Submitted:2008-06-03
Entered:2008-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1446U / 1 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Blood culture negative, Chest X-ray normal, Borrelia burgdorferi serology negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, negative; complete blood cell, negative. Labs and Diagnostics: CT Brain scan unremarkable. MRI cervical spine w/ straightening of cervical lordosis and incidental adenoidal hypertrophy. CXR WNL. CBC, UA and Chem WNL.
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with her first and only dose of GARDASIL 0.5 mL. There was no concomitant medication. Subsequently /"one week after"vaccination/" the patient developed total body paralysis and was hospitalized and all the lab tests which included a complete blood cell count came back negative. Several days after the hospitalization, the patient got better and was released. The repor


Changed on 12/8/2009

314881 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-03-17
Onset:2008-03-26
Submitted:2008-06-03
Entered:2008-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1446U / 1 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Blood culture negative, Chest X-ray normal, Dyskinesia, Full blood count normal, Gait disturbance, Haematocrit decreased, Haemoglobin decreased, Headache, Nuclear magnetic resonance imaging, Paraesthesia, Paralysis, Sensory loss, Quadriparesis, Laboratory test normal, Borrelia burgdorferi serology negative, Motor dysfunction, Scan brain, Troponin

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, negative; complete blood cell, negative. Labs and Diagnostics: CT Brain scan unremarkable. MRI cervical spine w/ straightening of cervical lordosis and incidental adenoidal hypertrophy. CXR WNL. CBC, UA and Chem WNL.
CDC 'Split Type': (blank) WAES0805USA06024

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with her first and only dose of GARDASIL 0.5 mL. There was no concomitant medication. Subsequently /"one "one week after"vaccination/" after vaccination" the patient developed total body paralysis and was hospitalized and all the lab tests which included a complete blood cell count came back negative. Several days after the hospitalization, the patient got better and was released. The repor reporter considered that total body paralysis to be disabling. Additional information has been requested. 6/25/2008 MR received for ER visit 3/26/2008 with DX: Quadriparesis-resolved. Pt developed a h/a, took a nap and awoke with inability to move all 4 extremities. Parent reports that this is the 3rd episode of these sx. During triage, unable to move 4 extremities. 1 hr later continued to have some motor and sensory deficits. Tingling reported in legs. Able to move toes after several hours and ambulating with slow unsteady gait and jerky movements in several more. D/C with resolution of sx in ~6 hrs from arrival.


Changed on 4/14/2017

314881 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-03-17
Onset:2008-03-26
Submitted:2008-06-03
Entered:2008-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1446U / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase MB, Blood creatine phosphokinase normal, Blood culture negative, Chest X-ray normal, Dyskinesia, Full blood count normal, Gait disturbance, Haematocrit decreased, Haemoglobin decreased, Headache, Nuclear magnetic resonance imaging, Paraesthesia, Paralysis, Sensory loss, Quadriparesis, Laboratory test normal, Borrelia burgdorferi serology negative, Motor dysfunction, Scan brain, Troponin

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, negative; complete blood cell, negative. Labs negative[[address]]Labs and Diagnostics: CT Brain scan unremarkable. MRI cervical spine w/ straightening of cervical lordosis and incidental adenoidal hypertrophy. CXR WNL. CBC, UA and Chem WNL. Hgb 11.9 and Hct 36.0. CK 97. CKMB 0.5 and 0.6. Troponin 0.04. Lyme Ab (-). Blood cx (-)[[address]]
CDC 'Split Type': WAES0805USA06024

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with her first and only dose of GARDASIL 0.5 mL. There was no concomitant medication. Subsequently "one week after vaccination" the patient developed total body paralysis and was hospitalized and all the lab tests which included a complete blood cell count came back negative. Several days after the hospitalization, the patient got better and was released. The reporter considered that total body paralysis to be disabling. Additional information has been requested. 6/25/2008 MR received for ER visit 3/26/2008 with DX: Quadriparesis-resolved. Pt developed a h/a, took a nap and awoke with inability to move all 4 extremities. Parent reports that this is the 3rd episode of these sx. During triage, unable to move 4 extremities. 1 hr later continued to have some motor and sensory deficits. Tingling reported in legs. Able to move toes after several hours and ambulating with slow unsteady gait and jerky movements in several more. D/C with resolution of sx in ~6 hrs from arrival.


Changed on 9/14/2017

314881 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2008-03-17
Onset:2008-03-26
Submitted:2008-06-03
Entered:2008-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1446U / 1 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Full blood count normal, Paralysis, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma.
Allergies:
Diagnostic Lab Data: diagnostic laboratory, negative; complete blood cell, negative[[address]]Labs and Diagnostics: CT Brain scan unremarkable. MRI cervical spine w/ straightening of cervical lordosis and incidental adenoidal hypertrophy. CXR WNL. CBC, UA and Chem WNL. Hgb 11.9 and Hct 36.0. CK 97. CKMB 0.5 and 0.6. Troponin 0.04. Lyme Ab (-). Blood cx (-)[[address]]
CDC 'Split Type': WAES0805USA06024

Write-up:Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with her first and only dose of GARDASIL 0.5 mL. There was no concomitant medication. Subsequently "one week after vaccination" the patient developed total body paralysis and was hospitalized and all the lab tests which included a complete blood cell count came back negative. Several days after the hospitalization, the patient got better and was released. The reporter considered that total body paralysis to be disabling. Additional information has been requested. 6/25/2008 MR received for ER visit 3/26/2008 with DX: Quadriparesis-resolved. Pt developed a h/a, took a nap and awoke with inability to move all 4 extremities. Parent reports that this is the 3rd episode of these sx. During triage, unable to move 4 extremities. 1 hr later continued to have some motor and sensory deficits. Tingling reported in legs. Able to move toes after several hours and ambulating with slow unsteady gait and jerky movements in several more. D/C with resolution of sx in ~6 hrs from arrival.


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