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This is VAERS ID 519902

Case Details

VAERS ID: 519902 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:365
Submitted: 2014-01-20
   Days after onset:80
Entered: 2014-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Guillain-Barre syndrome, Hemiplegia
SMQs:, Peripheral neuropathy (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions: 09/2013, Nasopharyngitis, two months prior to episode
Diagnostic Lab Data:
CDC Split Type: WAES1401USA007959

Write-up: This spontaneous report was received from a registered nurse via company representative referring to a 14-year-old female patient. The patient''s medical history included bad cold 2 months prior (September 2013) to the episode. On an unknown date in November 2012 the patient completed vaccination with the 3rd dose series of GARDASIL (lot # not reported( (dose not reported) to prevent HPV. No other concomitant therapies reported. On an unknown date in November 2013, approximately one year after completing a 3 dose series of GARDASIL the patient developed guillain-barre syndrome (hospitalization, medically significant and disability). The patient was then hospitalized for 2 months. The patient was reported to be still paralysed on her left side. The patient sought medical attention. It was reported that the patient was hospitalized in one hospital and was transferred to another hospital. The causality of the event was unspecified. The outcome of the event was reported as not recovered/not resolved. Additional information has been requested.

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