National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 319823

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

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

Administered by: Other      Purchased by: Unknown
Symptoms: Amnesia, Hypoaesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Concussion
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

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 memor"y 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 a


Changed on 12/8/2009

319823 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2007-12-31
Onset:2007-12-31
Submitted:2008-07-18
Entered:2008-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amnesia, Hypoaesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Concussion
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) 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 memor"y 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 a 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.


Changed on 9/14/2017

319823 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2007-12-31
Onset:2007-12-31
Submitted:2008-07-18
Entered:2008-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Hypoaesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Concussion
Allergies:
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.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=319823&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166