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This is VAERS ID 405787

Case Details

VAERS ID: 405787 (history)  
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 / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2418AA / - RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2824AA / - 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
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none at time of vaccination injection
Preexisting Conditions: vasovagal syncope
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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