National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 514000

Case Details

VAERS ID: 514000 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:0
Submitted: 2013-11-20
   Days after onset:21
Entered: 2013-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J006698 / 2 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Monoparesis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (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: No other medications
Current Illness: Immunisation
Preexisting Conditions: 07/30/2013, GARDASIL, Immunisation
Diagnostic Lab Data:
CDC Split Type: WAES1311DNK007557

Write-up: Case received from a health care professional via the Health Authorities on 11-Nov-2013 under the references DK-DKMA-ADR 22308107 and DK-DKMA-EFO7433. Case is medically confirmed. A 12-year-old female patient (weight, height not reported) had received the second dose of GARDASIL (batch number J006698) via intramuscular route into the right upper arm on 30-Oct-2013. On the same day, within hours after the injection, the patient developed paresis in the right arm distal to the vaccination site and extending along the right arm''s length out to all fingers. No examinations or laboratory tests were performed. There were no other vaccines or medicines. At the time of reporting, the patient had not recovered. D1 of GARDASIL was given on 30-Jul-2013, toleration was not reported. The Health Authorities considered the events as disabling.

New Search

Link To This Search Result:

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