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This is VAERS ID 405787

Case Details

VAERS ID: 405787 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: New York  
Vaccinated:2007-10-04
Onset:2008-01-31
   Days after vaccination:119
Submitted: 2010-10-28
   Days after onset:1000
Entered: 2010-10-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2418AA / UNK RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2824AA / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Electroencephalogram, Multiple sclerosis, Muscle spasms, Nuclear magnetic resonance imaging
SMQs:, Dystonia (broad), Optic nerve disorders (broad), Demyelination (narrow)

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? No
Previous Vaccinations:
Other Medications:
Current Illness: none at time of vaccination injection
Preexisting Conditions: vasovagal syncope
Allergies:
Diagnostic Lab Data: mri''s...eeg...
CDC Split Type:

Write-up: My daughter began with having seizure type spasms in her arm and leg in late January 2008 (had an mri on 1/30/08) and was diagnosed on February 4, 2008 with Multiple Sclerosis.


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