National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 440646

Case Details

VAERS ID: 440646 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:8
Submitted: 2011-10-28
   Days after onset:61
Entered: 2011-10-31
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: VIIth nerve paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1110USA03993

Write-up: Information was obtained on a request by the Company from the agency via a Public Case Detail (Local reference # AUS/11/1457; OPR289768) concerning a 12 year old female patient who on 20-AUG-2011 was vaccinated IM with a 0.5 ml dose of GARDASIL (Lot number not reported). On 28-AUG-2011 the patient experienced right Bell''s palsy. The patient was given oral steroids for treatment. On 30-AUG-2011 the patient recovered. The agency considered that right Bell''s palsy was possibly related to therapy with GARDASIL. It was unspecified whether the patient sought medical attention. Right Bell''s palsy was considered to be disabling by the agency. The original reporting source was not provided. Additional information is not expected.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166