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This is VAERS ID 411223

Case Details

VAERS ID: 411223 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:2007-08-15
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Hypoaesthesia, Injury, Multiple sclerosis, Paralysis
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Optic nerve disorders (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1011USA03381

Write-up: Information has been received from a physician concerning a female patient who on 15-AUG-2007 was vaccinated with unspecified dose of GARDASIL (lot# not reported) and a second dose of MENACTRA. It was reported that on 25-JUN-2007 the patient received the first dose of MENACTRA. Subsequently the patient developed paralysis and right sided numbness initially diagnosed as possible acute disseminated encephalomyelitis and eventually as multiple sclerosis as a result of receiving the vaccines on 25-JUN-2007 and 15-AUG-2007. The patient alleged that she experienced the residual effects of injuries more than 6 months. The patient''s multiple sclerosis persisted. The reporter felt that multiple sclerosis was related to therapy with GARDASIL and MENACTRA. Multiple sclerosis was considered to be disabling. No further information is available.


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