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This is VAERS ID 519902

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2014

VAERS ID: 519902
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2012-11-01
Onset:2013-11-01
Submitted:2014-01-20
Entered:2014-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome, Hemiplegia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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.


Changed on 6/14/2014

VAERS ID: 519902 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2012-11-01
Onset:2013-11-01
Submitted:2014-01-20
Entered:2014-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome, Hemiplegia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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.


Changed on 3/14/2015

VAERS ID: 519902 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2012-11-01
Onset:2013-11-01
Submitted:2014-01-20
Entered:2014-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Guillain-Barre syndrome, Hemiplegia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? 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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