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This is VAERS ID 316585

Case Details

VAERS ID: 316585 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Alabama  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-06-13
Entered: 2008-06-19
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Guillain-Barre syndrome
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0805USA02386

Write-up: Information has been received from a physician concerning a female (age unknown), who on an unspecified date, was vaccinated with a first dose of GARDASIL. Subsequently, the patient experienced arthralgias. On an unspecified date the patient was vaccinated with a third dose of GARDASIL. Subsequently, the patient experienced symptoms of GUILLAIN-BARRE syndrome.The patient sought unspecified medical attention. At the timf of the report, the patient had not recovered. No product quality complaint was involved. Follow-up information indicated that the physician did not know the name of the patient. The physician reported that he received infromation on the event through a contact of a friend and he did not have additional infromation on the patient. The physician considered the symptoms of GUILLAIN-BARRE syndrome and arthralgia to be disabling. This is a consolidation of two reports concerning the same patient. Additional information has been requested.


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