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This is VAERS ID 392855

Case Details

VAERS ID: 392855 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: West Virginia  
   Days after vaccination:2
Submitted: 2010-07-13
   Days after onset:27
Entered: 2010-07-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Facial palsy, Speech disorder
SMQs:, Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hearing impairment (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: Vyvanse
Current Illness: Attention deficit/hyperactivity disorder
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES1007USA00541

Write-up: Information has been received from a physician and a licensed practical nurse concerning a 12 year old female with attention deficit/hyperactivity disorder and no known drug allergies, who on 14-JUN-2010 was vaccinated with the first dose of GARDASIL (lot # 1487Y). Concomitant therapy included VYVANSE (for the attention deficit/hyperactivity disorder). No other vaccines were given on the day GARDASIL was administered. On 16-JUN-2010, the patient demonstrated symptoms of facial droop and impaired speech, so went to the ER (not admitted), and was diagnosed with bell''s palsy made based on symptoms. No diagnostic testing was performed. The patient was ordered oral ACYCLOVIR, oral PREDNISONE, and ophthalmic erythromycin ointment for 10 days. The patient went to follow-up with an ENT physician (no details). The patient was seen in office on 21-JUN-2010 and 06-JUL-2010, and was still recovering. The event was considered disabling, but not life threatening by the licensed practical nurse. Additional information has been requested.

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