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This is VAERS ID 319823

Case Details

VAERS ID: 319823 (history)  
Age: 13.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-12-31
Onset:2007-12-31
   Days after vaccination:0
Submitted: 2008-07-18
   Days after onset:199
Entered: 2008-07-21
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Amnesia, Hypoaesthesia, Paralysis
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Concussion
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0807USA01279

Write-up: Information has been received from a sales representative who was told by health professionals of media reports concerning a 13 year old female, who on 31-DEC-2007 was vaccinated with a first dose of GARDASIL. On 31-DEC-2007 the patient experienced memory loss, numbness of body and paralysis. A pediatrician was told by a consumer that the consumer doubted the validity of the report. It was reported that the patient played soccer, and as a result has a history of concussions. The patient recovered on an unknown date. the event could not be confirmed. No product quality complaint was involved. The memory loss, numbness of body, and paralysis were considered to be disabling. Additional information is not available.


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