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This is VAERS ID 380227

Case Details

VAERS ID: 380227 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-02-09
Entered: 2010-02-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness:
Preexisting Conditions: unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1002USA00013

Write-up: Information has been received from a physician concerning a female patient (age not reported), who was vaccinated with a dose of GARDASIL (dose and lot not reported). Physician stated that a patient experienced severe numbness in her arm for 2 weeks after administration of GARDASIL. This occurred 1 to 2 years ago. In follow-up, the physician stated that she had no available information concerning the patient, since she was vaccinated and treated at another office. The physician considered that severe numbness in her arm was disabling. The patient''s outcome at the time of the report was unknown. Patient sought medical attention via office visit. The healthcare professional contacted during telephone call, could not supply the following information: patient name, date of birth, dates of vaccination/therapy, dose number, lot number, date of event, recovery status, hospital name, healthcare provider name and contact information. This is one of two reports from the same source. No further information is available.


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