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This is VAERS ID 321626

Case Details

VAERS ID: 321626 (history)  
Age: 15.0  
Gender: Female  
Location: Florida  
Vaccinated:2008-07-29
Onset:2008-07-29
   Days after vaccination:0
Submitted: 2008-08-04
   Days after onset:6
Entered: 2008-08-08
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB238AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1967U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2663AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Hypoaesthesia, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: "Tingling/numbness" (B) legs. Mostly in pinkie toe.


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