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This is VAERS ID 516169

Case Details

VAERS ID: 516169 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2013-12-11
Entered: 2013-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Disability, Paralysis
SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), 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: Unknown
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1312USA003517

Write-up: This spontaneous report as received from a registered nurse via company representative refers to a female patient of unknown age. It was reported that the nurse had seen an unspecified video on "You Tube" regarding unspecified patient who had suffered paralysis after receiving unspecified doses of GARDASIL at an unspecified time and date. On an unknown date the patient was vaccinated with a dose of GARDASIL (lot number, expiry date, route and dosage were not reported). On an unknown date the patient experienced paralysis. The outcome of paralysis was unknown. The event ''paralysis'' considered to be significant disability. Upon internal review the event ''paralysis'' was considered to be medically significant. Additional information has been requested.


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