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This is VAERS ID 422374

History of Changes from the VAERS Wayback Machine

First Appeared on 5/13/2011

VAERS ID: 422374
Age:14.0
Gender:Female
Location:New York
Vaccinated:2008-04-29
Onset:2011-02-01
Submitted:2011-05-05
Entered:2011-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Electromyogram normal, Guillain-Barre syndrome, Muscular weakness, Nerve conduction studies normal, Neuromyopathy, Pain in extremity, Tremor, Walking aid user, Laboratory test normal, Neurological examination abnormal, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Gilbert''s syndrome
Preexisting Conditions:
Diagnostic Lab Data: Electromyography, ?/?/11, normal; Nerve conduction study, ?/?/11, nerve conduction velocity (NCV) was normal; Laboratory test, ?/?/11, normal, unknown which tests were done
CDC 'Split Type': WAES1104USA00008

Write-up:Information has been received from a physician concerning a 17 year old female patient with Gilbert''s syndrome (benign syndrome with normal variance) and no known drug allergies who received GARDASIL series (first dose on 10-Sep-2007, lot # 658554/0928U; second dose on 26-Nov-2007, lot # 659439/1267U; third dose on 29-Apr-2008, lot # 659964/1978U). There was no concomitant medication. In approximately February 2011 ("about 1 1/2 months before diagnosis date of 31-MAR-2011"), the patient experienced weakness, trembling and pain in her legs. So she went to the emergency department at a hospital. The symptoms had been processing to her arms. Blood tests were ordered at the emergency department but the results were not available for him to review. Lab work performed (unknown which tests were done) was normal according to the patient''s mother. It was believed that no cerebrospinal fluid (CSF) analysis was performed. ON 31-MAR-2011 the patient was diagnosed with Guillain-Barre syndrome by the reporting physician. The physician referred the patient to a neurologist on 31-MAR-2011 who confirmed his diagnosis of Guillain-Barre syndrome. At the time of reporting, the patient had not recovered from Guillain-Barre syndrome. Follow up information has been received from the neurologist who reported that no vaccine was given to the student patient at his office. The patient was seen in office for neurological evaluation secondary to lower extremity weakness and was diagnosed with idiopathic cryptogenic neuromuscular disorder. There was no history of vaccine exposure given at that time related/unrelated. No evidence vaccine. Electromyography (EMG) and nerve conduction velocity (NCV) were performed and both were normal. On 13-APR-2011, the patient recovered from the adverse event. Guillain-Barre syndrome was not life threatening, but was disabling in the fact that the patient needed assistance with walking. Additional information has been requested.


Changed on 8/12/2011

VAERS ID: 422374 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2008-04-29
Onset:2011-02-01
Submitted:2011-05-05
Entered:2011-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Electromyogram normal, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Influenza, Muscular weakness, Nerve conduction studies normal, Neuromyopathy, Pain in extremity, Pyrexia, Tremor, Upper respiratory tract infection, Walking aid user, Activities of daily living impaired, Laboratory test normal, Neurological examination abnormal, Restless legs syndrome, Blood test, Borrelia test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Gilbert''s syndrome
Preexisting Conditions:
Diagnostic Lab Data: Electromyography, ?/?/11, normal; Nerve conduction study, ?/?/11, nerve conduction velocity (NCV) was normal; Laboratory test, ?/?/11, normal, unknown which tests were done
CDC 'Split Type': WAES1104USA00008

Write-up:Information has been received from a physician concerning a 17 year old female patient with Gilbert''s syndrome (benign syndrome with normal variance) and no known drug allergies who received GARDASIL series (first dose on 10-Sep-2007, lot # 658554/0928U; second dose on 26-Nov-2007, lot # 659439/1267U; third dose on 29-Apr-2008, lot # 659964/1978U). There was no concomitant medication. In approximately February 2011 ("about 1 1/2 months before diagnosis date of 31-MAR-2011"), the patient experienced weakness, trembling and pain in her legs. So she went to the emergency department at a hospital. The symptoms had been processing to her arms. Blood tests were ordered at the emergency department but the results were not available for him to review. Lab work performed (unknown which tests were done) was normal according to the patient''s mother. It was believed that no cerebrospinal fluid (CSF) analysis was performed. ON 31-MAR-2011 the patient was diagnosed with Guillain-Barre syndrome by the reporting physician. The physician referred the patient to a neurologist on 31-MAR-2011 who confirmed his diagnosis of Guillain-Barre syndrome. At the time of reporting, the patient had not recovered from Guillain-Barre syndrome. Follow up information has been received from the neurologist who reported that no vaccine was given to the student patient at his office. The patient was seen in office for neurological evaluation secondary to lower extremity weakness and was diagnosed with idiopathic cryptogenic neuromuscular disorder. There was no history of vaccine exposure given at that time related/unrelated. No evidence vaccine. Electromyography (EMG) and nerve conduction velocity (NCV) were performed and both were normal. On 13-APR-2011, the patient recovered from the adverse event. Guillain-Barre syndrome was not life threatening, but was disabling in the fact that the patient needed assistance with walking. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 422374 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2008-04-29
Onset:2011-02-01
Submitted:2011-05-05
Entered:2011-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Electromyogram normal, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Influenza, Muscular weakness, Nerve conduction studies normal, Neuromyopathy, Pain in extremity, Pyrexia, Tremor, Upper respiratory tract infection, Walking aid user, Activities of daily living impaired, Laboratory test normal, Neurological examination abnormal, Restless legs syndrome, Blood test, Borrelia test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Gilbert''s syndrome
Preexisting Conditions:
Diagnostic Lab Data: Electromyography, ?/?/11, normal; Nerve conduction study, ?/?/11, nerve conduction velocity (NCV) was normal; Laboratory test, ?/?/11, normal, unknown which tests were done
CDC 'Split Type': WAES1104USA00008

Write-up:Information has been received from a physician concerning a 17 year old female patient with Gilbert''s syndrome (benign syndrome with normal variance) and no known drug allergies who received GARDASIL series (first dose on 10-Sep-2007, lot # 658554/0928U; second dose on 26-Nov-2007, lot # 659439/1267U; third dose on 29-Apr-2008, lot # 659964/1978U). There was no concomitant medication. In approximately February 2011 ("about 1 1/2 months before diagnosis date of 31-MAR-2011"), the patient experienced weakness, trembling and pain in her legs. So she went to the emergency department at a hospital. The symptoms had been processing to her arms. Blood tests were ordered at the emergency department but the results were not available for him to review. Lab work performed (unknown which tests were done) was normal according to the patient''s mother. It was believed that no cerebrospinal fluid (CSF) analysis was performed. ON 31-MAR-2011 the patient was diagnosed with Guillain-Barre syndrome by the reporting physician. The physician referred the patient to a neurologist on 31-MAR-2011 who confirmed his diagnosis of Guillain-Barre syndrome. At the time of reporting, the patient had not recovered from Guillain-Barre syndrome. Follow up information has been received from the neurologist who reported that no vaccine was given to the student patient at his office. The patient was seen in office for neurological evaluation secondary to lower extremity weakness and was diagnosed with idiopathic cryptogenic neuromuscular disorder. There was no history of vaccine exposure given at that time related/unrelated. No evidence vaccine. Electromyography (EMG) and nerve conduction velocity (NCV) were performed and both were normal. On 13-APR-2011, the patient recovered from the adverse event. Guillain-Barre syndrome was not life threatening, but was disabling in the fact that the patient needed assistance with walking. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 422374 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2008-04-29
Onset:2011-02-01
Submitted:2011-05-05
Entered:2011-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Electromyogram normal, Gait disturbance, Guillain-Barre syndrome, Hypoaesthesia, Influenza, Muscular weakness, Nerve conduction studies normal, Neuromyopathy, Pain in extremity, Pyrexia, Tremor, Upper respiratory tract infection, Walking aid user, Activities of daily living impaired, Laboratory test normal, Neurological examination abnormal, Restless legs syndrome, Blood test, Borrelia test negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Gilbert''s syndrome
Preexisting Conditions:
Diagnostic Lab Data: Electromyography, ?/?/11, normal; Nerve conduction study, ?/?/11, nerve conduction velocity (NCV) was normal; Laboratory test, ?/?/11, normal, unknown which tests were done
CDC 'Split Type': WAES1104USA00008

Write-up:Information has been received from a physician concerning a 17 year old female patient with Gilbert''s syndrome (benign syndrome with normal variance) and no known drug allergies who received GARDASIL series (first dose on 10-Sep-2007, lot # 658554/0928U; second dose on 26-Nov-2007, lot # 659439/1267U; third dose on 29-Apr-2008, lot # 659964/1978U). There was no concomitant medication. In approximately February 2011 ("about 1 1/2 months before diagnosis date of 31-MAR-2011"), the patient experienced weakness, trembling and pain in her legs. So she went to the emergency department at a hospital. The symptoms had been processing to her arms. Blood tests were ordered at the emergency department but the results were not available for him to review. Lab work performed (unknown which tests were done) was normal according to the patient''s mother. It was believed that no cerebrospinal fluid (CSF) analysis was performed. ON 31-MAR-2011 the patient was diagnosed with Guillain-Barre syndrome by the reporting physician. The physician referred the patient to a neurologist on 31-MAR-2011 who confirmed his diagnosis of Guillain-Barre syndrome. At the time of reporting, the patient had not recovered from Guillain-Barre syndrome. Follow up information has been received from the neurologist who reported that no vaccine was given to the student patient at his office. The patient was seen in office for neurological evaluation secondary to lower extremity weakness and was diagnosed with idiopathic cryptogenic neuromuscular disorder. There was no history of vaccine exposure given at that time related/unrelated. No evidence vaccine. Electromyography (EMG) and nerve conduction velocity (NCV) were performed and both were normal. On 13-APR-2011, the patient recovered from the adverse event. Guillain-Barre syndrome was not life threatening, but was disabling in the fact that the patient needed assistance with walking. Additional information has been requested.


Changed on 4/14/2017

VAERS ID: 422374 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2008-04-29
Onset:2011-02-01
Submitted:2011-05-05
Entered:2011-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1978U / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Electromyogram normal, Guillain-Barre syndrome, Muscular weakness, Nerve conduction studies normal, Neuromyopathy, Pain in extremity, Tremor, Walking aid user, Laboratory test normal, Neurological examination abnormal, Blood test

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Gilbert''s syndrome
Preexisting Conditions:
Diagnostic Lab Data: Electromyography, ?/?/11, normal; Nerve conduction study, ?/?/11, nerve conduction velocity (NCV) was normal; Laboratory test, ?/?/11, normal, unknown which tests were done
CDC 'Split Type': WAES1104USA00008

Write-up:Information has been received from a physician concerning a 17 year old female patient with Gilbert''s syndrome (benign syndrome with normal variance) and no known drug allergies who received GARDASIL series (first dose on 10-Sep-2007, lot # 658554/0928U; second dose on 26-Nov-2007, lot # 659439/1267U; third dose on 29-Apr-2008, lot # 659964/1978U). There was no concomitant medication. In approximately February 2011 ("about 1 1/2 months before diagnosis date of 31-MAR-2011"), the patient experienced weakness, trembling and pain in her legs. So she went to the emergency department at a hospital. The symptoms had been processing to her arms. Blood tests were ordered at the emergency department but the results were not available for him to review. Lab work performed (unknown which tests were done) was normal according to the patient''s mother. It was believed that no cerebrospinal fluid (CSF) analysis was performed. ON 31-MAR-2011 the patient was diagnosed with Guillain-Barre syndrome by the reporting physician. The physician referred the patient to a neurologist on 31-MAR-2011 who confirmed his diagnosis of Guillain-Barre syndrome. At the time of reporting, the patient had not recovered from Guillain-Barre syndrome. Follow up information has been received from the neurologist who reported that no vaccine was given to the student patient at his office. The patient was seen in office for neurological evaluation secondary to lower extremity weakness and was diagnosed with idiopathic cryptogenic neuromuscular disorder. There was no history of vaccine exposure given at that time related/unrelated. No evidence vaccine. Electromyography (EMG) and nerve conduction velocity (NCV) were performed and both were normal. On 13-APR-2011, the patient recovered from the adverse event. Guillain-Barre syndrome was not life threatening, but was disabling in the fact that the patient needed assistance with walking. Additional information has been requested.


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