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This is VAERS ID 532696

History of Changes from the VAERS Wayback Machine

First Appeared on 6/14/2014

532696
VAERS Form:
Age:12.0
Gender:Female
Location:Tennessee
Vaccinated:2011-06-21
Onset:2012-07-05
Submitted:2014-05-29
Entered:2014-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10167 / 2 AR / UN

Administered by: Private      Purchased by: Public
Symptoms: Fall, Hypoaesthesia, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging, Sensory loss, Nerve injury, Nerve conduction studies

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 9     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.


Changed on 9/14/2017

532696 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Tennessee
Vaccinated:2011-06-21
Onset:2012-07-05
Submitted:2014-05-29
Entered:2014-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 10167 / 2 3 AR / UN

Administered by: Private      Purchased by: Public
Symptoms: Fall, Hypoaesthesia, Lumbar puncture, Muscular weakness, Nuclear magnetic resonance imaging, Sensory loss, Nerve injury, Nerve conduction studies

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 9     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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=532696&WAYBACKHISTORY=ON


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