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This is VAERS ID 380227

History of Changes from the VAERS Wayback Machine

First Appeared on 3/2/2010

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

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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.


Changed on 6/14/2014

380227 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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.


Changed on 4/14/2017

380227 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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.


Changed on 9/14/2017

380227 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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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