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This is VAERS ID 583528

Case Details

VAERS ID: 583528 (history)  
Form: Version 1.0  
Age: 10.0  
Gender: Male  
Location: Unknown  
   Days after vaccination:4
Submitted: 2015-06-26
   Days after onset:19
Entered: 2015-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Sensory loss
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad)

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? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1506USA011814

Write-up: This spontaneous report as received from a healthcare worker, via field employee, refers to a 10 year old male patient. The patient''s current conditions and medical history were not reported. On approximately 03-JUN-2015 (reported as 2.5 weeks ago), the patient was vaccinated with GARDASIL. Concomitant medications were not reported. Four days later, on approximately 07-JUN-2015, the patient found that he "had no feeling below his navel". The outcome of the event was unknown. The patient''s physician stated that the event was vaccine related, and hence related to GARDASIL use. There was no product quality complaint involved. Upon internal review, the event was considered serious due to possible disability. Additional information has been requested.

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