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This is VAERS ID 404435

History of Changes from the VAERS Wayback Machine

First Appeared on 11/3/2010

404435
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2010-05-06
Onset:2010-06-11
Submitted:2010-10-18
Entered:2010-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myelitis transverse

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1010USA00538

Write-up:Information has been received from a health authority concerning a 13 year old female, who was previously well, who on 06-MAY-2010 was vaccinated with a dose of GARDASIL (manufacturer and batch number not reported). On 11-JUN-2010, 36 days post vaccination, the patient experienced transverse myelitis. At the time of reporting, the patient was recovering. The patient''s parents were concerned that the event occurred after the GARDASIL vaccination. The reporter considered the event to be serious due to disability / incapacity. The agency coded the event of myelitis transverse. Other business partner number included E2010-05911. Additional information has been requested.


Changed on 6/14/2014

404435 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2010-05-06
Onset:2010-06-11
Submitted:2010-10-18
Entered:2010-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myelitis transverse

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1010USA00538

Write-up:Information has been received from a health authority concerning a 13 year old female, who was previously well, who on 06-MAY-2010 was vaccinated with a dose of GARDASIL (manufacturer and batch number not reported). On 11-JUN-2010, 36 days post vaccination, the patient experienced transverse myelitis. At the time of reporting, the patient was recovering. The patient''s parents were concerned that the event occurred after the GARDASIL vaccination. The reporter considered the event to be serious due to disability / incapacity. The agency coded the event of myelitis transverse. Other business partner number included E2010-05911. Additional information has been requested.


Changed on 4/14/2017

404435 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2010-05-06
Onset:2010-06-11
Submitted:2010-10-18
Entered:2010-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myelitis transverse

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1010USA00538

Write-up:Information has been received from a health authority concerning a 13 year old female, who was previously well, who on 06-MAY-2010 was vaccinated with a dose of GARDASIL (manufacturer and batch number not reported). On 11-JUN-2010, 36 days post vaccination, the patient experienced transverse myelitis. At the time of reporting, the patient was recovering. The patient''s parents were concerned that the event occurred after the GARDASIL vaccination. The reporter considered the event to be serious due to disability / incapacity. The agency coded the event of myelitis transverse. Other business partner number included E2010-05911. Additional information has been requested.


Changed on 9/14/2017

404435 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2010-05-06
Onset:2010-06-11
Submitted:2010-10-18
Entered:2010-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Myelitis transverse

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1010USA00538

Write-up:Information has been received from a health authority concerning a 13 year old female, who was previously well, who on 06-MAY-2010 was vaccinated with a dose of GARDASIL (manufacturer and batch number not reported). On 11-JUN-2010, 36 days post vaccination, the patient experienced transverse myelitis. At the time of reporting, the patient was recovering. The patient''s parents were concerned that the event occurred after the GARDASIL vaccination. The reporter considered the event to be serious due to disability / incapacity. The agency coded the event of myelitis transverse. Other business partner number included E2010-05911. Additional information has been requested.


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