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This is VAERS ID 541076

History of Changes from the VAERS Wayback Machine

First Appeared on 12/14/2014

541076
VAERS Form:
Age:15.0
Gender:Female
Location:Foreign
Vaccinated:2014-06-01
Onset:0000-00-00
Submitted:2014-08-25
Entered:2014-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Paraplegia

Life Threatening? No
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1408DEU014061

Write-up:Information has been received from Sanofi Pasteur (Mfr control no. DE-1577272925-E2014-07330) on 22-AUG-2014. Case was received from a health care professional on 19-Aug-2014. Case is medically confirmed. Case is poorly documented. A 15-year-old previously healthy female patient received a first dose of GARDASIL, (lot-no. not reported) on an unspecified date in Jun-2014. 4 weeks later, she developed paraplegia within four hours. Diagnosis of transverse myelitis was established. She was hospitalised and currently stays in a neurological rehabilitation clinic (outcome not recovered).


Changed on 9/14/2017

541076 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Foreign
Vaccinated:2014-06-01
Onset:0000-00-00
Submitted:2014-08-25
Entered:2014-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Myelitis transverse, Paraplegia

Life Threatening? No
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1408DEU014061

Write-up:Information has been received from Sanofi Pasteur (Mfr control no. DE-1577272925-E2014-07330) on 22-AUG-2014. Case was received from a health care professional on 19-Aug-2014. Case is medically confirmed. Case is poorly documented. A 15-year-old previously healthy female patient received a first dose of GARDASIL, (lot-no. not reported) on an unspecified date in Jun-2014. 4 weeks later, she developed paraplegia within four hours. Diagnosis of transverse myelitis was established. She was hospitalised and currently stays in a neurological rehabilitation clinic (outcome not recovered).


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=541076&WAYBACKHISTORY=ON


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