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This is VAERS ID 445262

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2011

445262
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-12
Entered:2011-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: VIIth nerve paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1112USA00893

Write-up:Information has been received from a physician concerning a "12 or 13 years old" female who on an unspecified date was vaccinated with a dose of GARDASIL, 0.5 mL, intramuscularly. The physician reported that on an unspecified date the patient experienced Bell''s palsy and was taken to a children hospital ER. Hospital stay duration was unspecified. The therapy was discontinued. After stopping the therapy, the adverse effect did not improve. At the time of reporting, the patient had not recovered. Bell''s palsy was considered to be disabling by the reporter. No further information is available.


Changed on 6/14/2014

445262 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-12
Entered:2011-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: VIIth nerve paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1112USA00893

Write-up:Information has been received from a physician concerning a "12 or 13 years old" female who on an unspecified date was vaccinated with a dose of GARDASIL, 0.5 mL, intramuscularly. The physician reported that on an unspecified date the patient experienced Bell''s palsy and was taken to a children hospital ER. Hospital stay duration was unspecified. The therapy was discontinued. After stopping the therapy, the adverse effect did not improve. At the time of reporting, the patient had not recovered. Bell''s palsy was considered to be disabling by the reporter. No further information is available.


Changed on 4/14/2017

445262 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-12
Entered:2011-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: VIIth nerve paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1112USA00893

Write-up:Information has been received from a physician concerning a "12 or 13 years old" female who on an unspecified date was vaccinated with a dose of GARDASIL, 0.5 mL, intramuscularly. The physician reported that on an unspecified date the patient experienced Bell''s palsy and was taken to a children hospital ER. Hospital stay duration was unspecified. The therapy was discontinued. After stopping the therapy, the adverse effect did not improve. At the time of reporting, the patient had not recovered. Bell''s palsy was considered to be disabling by the reporter. No further information is available.


Changed on 9/14/2017

445262 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-12-12
Entered:2011-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: VIIth nerve paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1112USA00893

Write-up:Information has been received from a physician concerning a "12 or 13 years old" female who on an unspecified date was vaccinated with a dose of GARDASIL, 0.5 mL, intramuscularly. The physician reported that on an unspecified date the patient experienced Bell''s palsy and was taken to a children hospital ER. Hospital stay duration was unspecified. The therapy was discontinued. After stopping the therapy, the adverse effect did not improve. At the time of reporting, the patient had not recovered. Bell''s palsy was considered to be disabling by the reporter. No further information is available.


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