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This is VAERS ID 532696

Case Details

VAERS ID: 532696 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Tennessee  
Vaccinated:2011-06-21
Onset:2012-07-05
   Days after vaccination:380
Submitted: 2014-05-29
   Days after onset:693
Entered: 2014-06-02
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10167 / 3 AR / UN

Administered by: Private       Purchased by: Public
Symptoms: Fall, Hypoaesthesia, Lumbar puncture, Muscular weakness, Nerve conduction studies, Nerve injury, Nuclear magnetic resonance imaging, Sensory loss
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 9 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Metformin; SINGULAIR
Current Illness: None
Preexisting Conditions: Pre-diabetes; Seasonal allergies
Allergies:
Diagnostic Lab Data: MRI; Spinal tap; Nerve conduction
CDC Split Type:

Write-up: Leg weakness, numbness, loss of feeling, nerve damage, falls. Weakness began within a couple weeks of receiving 3rd dose of HPV vaccine. 1st dose given with FLUMIST.


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