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This is VAERS ID 655778

Case Details

VAERS ID: 655778 (history)  
Form: Version 1.0  
Gender: Female  
Location: Foreign  
Submitted: 2016-09-28
   Days after onset:210
Entered: 2016-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Aspiration bone marrow, Face injury, Guillain-Barre syndrome, Intensive care, Mood altered, Paralysis, Systemic lupus erythematosus
SMQs:, Peripheral neuropathy (narrow), Systemic lupus erythematosus (narrow), Dementia (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1609CHL012416

Write-up: This spontaneous report was received from a patient''s mother via social media refers to her 14 year old daughter. There was no information about the patient''s concurrent conditions, concomitant therapies and medical history provided. The patient''s mother stated that, before the events, her daughter was a normal and healthy child. On an unknown date, the patient was vaccinated with a dose of GARDASIL intramuscularly (dose, lot # and expiration date were not reported). On an unknown date in March 206, after vaccination with GARDASIL, the patient experienced paralysis which began in her limbs and, as reported due to gravity, was hospitalized in intensive care unit (ICU) within 3 hours of reaching the hospital. Approximately in 2016, the patient underwent 4 bone marrow aspirates Guillain Barre and Lupus were suspected. The last 3 tests had results reported as altered (details not specified). At the time of the report (reported as currently), the patient presented face damage due to aggressive paralysis and her decreased mood. At the time of this report the outcome of the events was unknown and the patient was undiagnosed. Relatedness between the events and GARDASIL was not reported. The events of Guillain Barre and Lupus were determined to be medically significant and disabling. Additional information has been requested.

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