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This is VAERS ID 356648

Case Details

VAERS ID: 356648 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 2009-09-04
   Days after onset:130
Entered: 2009-09-08
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Headache, Lymphadenopathy, Muscular weakness, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Unknown
CDC Split Type: WAES0908USA05097

Write-up: Information was obtained on request by the company from the agency via a Case Line Listing through CSL NZ as part of a business agreement (Manufacturer control number: 084849), concerning a 16 year old female patient who on 27-APR-2009 was vaccinated with 0.5 ml of a dose of GARDASIL intramuscularly. On 27-APR-2009 the patient experienced paraesthesia (severe), lymphadenopathy (severe), arthralgia (severe), headache (severe) and muscle weakness (severe). At the time of reporting in June 2009, the patient''s paraesthesia, lymphadenopathy, arthralgia, headache and muscle weakness persisted. The agency considered that paraesthesia (severe), lymphadenopathy (severe), arthralgia (severe), headache (severe) and muscle weakness (severe) were "possible" related to therapy with GARDASIL. Paraesthesia (severe), lymphadenopathy (severe), arthralgia (severe), headache (severe) and muscle weakness (severe) were resulted in persisting disability. The original reporting source was not provided. Additional information is not expected.

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