National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 496426

History of Changes from the VAERS Wayback Machine

First Appeared on 11/13/2013

VAERS ID: 496426
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-07-22
Onset:2010-08-08
Submitted:2013-07-11
Entered:2013-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: CSF culture negative, Nuclear magnetic resonance imaging brain normal, Tongue paralysis, Serology normal, Angiogram normal, Hypoglossal nerve paralysis

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data: MRI angiography, Spinal fluid culture, MRI brain and Serology test were normal
CDC 'Split Type': WAES1307DNK004617

Write-up:Case received from a health care professional via the Health Authorities on 04-Jul-2013 under the references DK-DKMA-ADR 22156769 and DK-DKMA EFO6163. Case medically confirmed. A 12-year-old female patient had received the first injection of GARDASIL (batch number unknown, administration site not reported) via intramuscular route on 22-Jul-2010. On 08-Aug-2010, the patient developed right-side tongue deviation and paralysis of the hypoglossal nerve dexter. In Jun-2013, the patient had stationary function-failure of right nervus hypoglossus, localised at nerve nucleus. The patient was investigated with MRI of cerebrum and throat, MRI angiography, spinal fluid test and serological test for inflammation and neuro infection. All tests were without findings. At the time of reporting, the patient had not recovered.


Changed on 6/14/2014

VAERS ID: 496426 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-07-22
Onset:2010-08-08
Submitted:2013-07-11
Entered:2013-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: CSF culture negative, Nuclear magnetic resonance imaging brain normal, Tongue paralysis, Serology normal, Angiogram normal, Hypoglossal nerve paralysis

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data: MRI angiography, Spinal fluid culture, MRI brain and Serology test were normal
CDC 'Split Type': WAES1307DNK004617

Write-up:Case received from a health care professional via the Health Authorities on 04-Jul-2013 under the references DK-DKMA-ADR 22156769 and DK-DKMA EFO6163. Case medically confirmed. A 12-year-old female patient had received the first injection of GARDASIL (batch number unknown, administration site not reported) via intramuscular route on 22-Jul-2010. On 08-Aug-2010, the patient developed right-side tongue deviation and paralysis of the hypoglossal nerve dexter. In Jun-2013, the patient had stationary function-failure of right nervus hypoglossus, localised at nerve nucleus. The patient was investigated with MRI of cerebrum and throat, MRI angiography, spinal fluid test and serological test for inflammation and neuro infection. All tests were without findings. At the time of reporting, the patient had not recovered.


Changed on 3/14/2015

VAERS ID: 496426 Before After
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:2010-07-22
Onset:2010-08-08
Submitted:2013-07-11
Entered:2013-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: CSF culture negative, Nuclear magnetic resonance imaging brain normal, Tongue paralysis, Serology normal, Angiogram normal, Hypoglossal nerve paralysis

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Diagnostic Lab Data: MRI angiography, Spinal fluid culture, MRI brain and Serology test were normal
CDC 'Split Type': WAES1307DNK004617

Write-up:Case received from a health care professional via the Health Authorities on 04-Jul-2013 under the references DK-DKMA-ADR 22156769 and DK-DKMA EFO6163. Case medically confirmed. A 12-year-old female patient had received the first injection of GARDASIL (batch number unknown, administration site not reported) via intramuscular route on 22-Jul-2010. On 08-Aug-2010, the patient developed right-side tongue deviation and paralysis of the hypoglossal nerve dexter. In Jun-2013, the patient had stationary function-failure of right nervus hypoglossus, localised at nerve nucleus. The patient was investigated with MRI of cerebrum and throat, MRI angiography, spinal fluid test and serological test for inflammation and neuro infection. All tests were without findings. At the time of reporting, the patient had not recovered.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=496426&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166