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This is VAERS ID 596239

Case Details

VAERS ID: 596239 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Foreign  
Vaccinated:2010-10-29
Onset:2013-02-15
   Days after vaccination:840
Submitted: 2015-09-19
   Days after onset:945
Entered: 2015-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Ageusia, Asthenia, Asthenopia, Multiple sclerosis, Nuclear magnetic resonance imaging abnormal
SMQs:, Taste and smell disorders (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Corneal disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 15 days
   Extended hospital stay? Yes
Previous Vaccinations: Drop things, gait heavy on right side, eyelids heavy~HPV (Gardasil)~2~0.00~Patient
Other Medications: Paracetamol, antibiotic, ambroxol
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Results of magnetic resonance with multiple sclerosis.
CDC Split Type:

Write-up: Loss of strength on the upper and lower extremities with a duration of 2-3 consecutive days, heavy eyelids during 1-3 hours in intervals of between 4-5 days, loss of sensation to flavor on a section of the tongue (left side).


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