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This is VAERS ID 338236

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 338236
Age:15.0
Gender:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-12-07
Submitted:2009-01-23
Entered:2009-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Acute disseminated encephalomyelitis, Diplopia, Headache, Nasopharyngitis, Nuclear magnetic resonance imaging abnormal, Paresis

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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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