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This is VAERS ID 391278

Case Details

VAERS ID: 391278 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2010-06-22
Entered: 2010-06-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Polyneuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre 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? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1006USA02831

Write-up: Case received from a gynecologist on 16-JUN-2010. A female patient developed polyradiculoneuritis after she had received an injection of GARDASIL (batch number not reported) on an unspecified date. The reporter specified that the patient was the daughter of a patient of his. Unspecified investigations were performed in hospital. The physicians who took care of the patient did not incriminate GARDASIL. On the other hand, the patient''s mother was convinced that there was a link with the vaccine. According to the reporter, the patient had "settled in handicap". He could not provide any further information regarding this case. At the time of reporting, the patient had not recovered. Polyradiculoneuritis was considered to be disabling. Other business partner numbers included E2010-03761. No further information is available.

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