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This is VAERS ID 338236

Case Details

VAERS ID: 338236 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:36
Submitted: 2009-01-23
   Days after onset:47
Entered: 2009-01-26
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Acute disseminated encephalomyelitis, Diplopia, Headache, Nasopharyngitis, Nuclear magnetic resonance imaging abnormal, Paresis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious meningitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular motility disorders (broad), Hypoglycaemia (broad)

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
Diagnostic Lab Data: Magnetic resonance imaging, 18Dec08, hyperintense enhancement in the caudal salivary nucleus left
CDC Split Type: WAES0901USA02992

Write-up: Information has been received from Health Authority on 15-JAN-2009 (reference #2009-00031) concerning a 15 year old female adolescent who was intramuscularly vaccinated with the first 0.5 ml dose of GARDASIL (batch number not reported, site of administration not reported) in October 2008. In November 2008 she received the second 0.5 ml dose of GARDASIL, IM. From 07-DEC-2008 until 11-DEC-2008 she developed headache. On 11-DEC-2008 she noted a diplopia, which was progressive and she had symptoms of common cold. A paresis of the left abducent nerve was diagnosed. On 18-DEC-2008 an MRI showed hyperintense enhancement in the caudal salivary nucleus left. An acute disseminated encephalitis was diagnosed. Other business partner numbers include E2009-00291. No further information is available.

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