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This is VAERS ID 274236

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 274236 (history)  
Form: Version .0  
Age: 23.0  
Sex: Female  
Location: New York  
Vaccinated:2007-02-01
Onset:2007-02-01
   Days after vaccination:0
Submitted: 2007-03-16
   Days after onset:42
Entered: 2007-03-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Arrhythmia, Blood culture negative, Blood immunoglobulin G increased, Blood phosphorus, Blood potassium decreased
SMQs:, Cardiomyopathy (broad), Cardiac arrhythmia terms, nonspecific (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results
CDC Split Type:

Write-up: Information has been received from a physician concerning a 22 year old female with no pertinent medical history who in February 2007, was vaccinated with a first dose of Gardasil. There was no concomitant medication. Approximately two weeks post vaccinat"ion, the patient experienced paresthesia of hands and feet and was hospitalized. The patient was in the hospital for approximately 5 days and was treated with immune globulin. The physician reported that /"blood studies/" and /"agency reported/" had norma


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