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This is VAERS ID 274236

(NOTE: This result is from the 6/2/2010 version of the VAERS database)

Case Details

VAERS ID: 274236 (history)  
Form: Version .0  
Age: 23.0  
Sex: Female  
Location: New York  
   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

Administered by: Other       Purchased by: Other
Symptoms: Full blood count normal, Haematology test normal, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)

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 11/13/07-records received-PMH: polycystic ovarian disease, hypertension, hyperlipidemia.
Diagnostic Lab Data: complete blood cell - normal results, hematology - normal results 11/13/07-records received- Labs: Potassium 3.3, phosphorus 2.3, eosinphils 7.3, sed rate 34, blood culture, urine culutre, spinal fluid culture no growth. EBNA IgG 7.36, EBV
CDC Split Type: WAES0703USA02171

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 vaccination, 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 normal results. The patient was discharged from the hospital and had subsequently fully recovered. The reporting physician considered paresthesia of hands and feet to be disabling and an other important medical event. Additional information has been requested. 11/13/07-records received for DOS 2/21-2/26/07-DC DX: Infection polyneuritis. Spontaneous Ecchymoses. Epistaxis. Cardiac Dysrhythmias. Seen in ED for C/O bloody nose since Sunday, fever, numbness, tingling of hands and feet for several days, day seen in ED C/O neck stiffness, areas of ecchymosis of arm, leg and breast. PE: decrease to pinprick sensation distally hands and feet.

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