Found 27015 events where Vaccine is HPV4

VAERS ID: 334405 (history)   Vaccinated: 2008-11-07 Age: 11.0   Onset: 2008-11-09, Days after vaccination: 2 Gender: Female   Submitted: 2008-11-10, Days after onset: 1 Location: Michigan   Entered: 2008-12-09, Days after submission: 29	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Healthy Preexisting Conditions: Allergic to Penicillin Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB320AA   IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0072X   IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2728AA   IM LA TDAP: TDAP (BOOSTRIX) GLAXOSMITHKLINE BIOLOGICALS AC52B024AA   IM LA
Administered by: Private     Purchased by: Public Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site warmth SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: Upper left arm, lateral aspect, size: 105 mm x 80 mm. Upper right arm, lateral aspect, size: 105 mm x 70 mm. Both sites red, firm, mildly tender, and warm. No fluctuation or fevers.
VAERS ID: 334464 (history)   Vaccinated: 2008-11-14 Age: 15.0   Onset: 2008-11-15, Days after vaccination: 1 Gender: Female   Submitted: 2008-11-18, Days after onset: 3 Location: Colorado   Entered: 2008-12-09, Days after submission: 21	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2797AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 0 IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2622AA 0 IM LA TDAP: TDAP (BOOSTRIX) GLAXOSMITHKLINE BIOLOGICALS AC52B024AA 0 IM RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 0991X 1 SC LA
Administered by: Private     Purchased by: Private Symptoms: Injection site inflammation, Pain, Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad) Write-up: Fever, body aches, inflammation at site of injection. Pt went to emergency room & tx''d with Rocephin and Keflex.
VAERS ID: 334478 (history)   Vaccinated: 2008-07-10 Age: 11.0   Onset: 2008-07-20, Days after vaccination: 10 Gender: Female   Submitted: 2008-11-14, Days after onset: 117 Location: Pennsylvania   Entered: 2008-12-09, Days after submission: 25	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: FLUORIDE Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 1 IM LA
Administered by: Private     Purchased by: Private Symptoms: Injection site pain, Injection site swelling SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Large swollen area developed 10 days after GARDASIL shot at the site of shot on her arm. Not red or warm. Mildly painful.
VAERS ID: 334503 (history)   Vaccinated: 2008-04-24 Age: 18.0   Onset: 2008-04-24, Days after vaccination: 0 Gender: Female   Submitted: 2008-11-19, Days after onset: 209 Location: Kentucky   Entered: 2008-12-09, Days after submission: 20	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: says Follow-up tests done in ER at hospital 6/29/09 Hospital ER records received DOS 4/28/08. LABS and DIAGNOSTICS: CT Angiogram Chest - WNL. Chest X-ray - WNL. EKG, CBC, CHEM, WNL. Urinalysis results not reported. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0962F 1 UN RA
Administered by: Public     Purchased by: Private Symptoms: Chest pain, Dyspnoea, Hypoaesthesia, Hypoaesthesia facial, Hypoaesthesia oral, Pleuritic pain, Urine analysis SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad) Write-up: Numbness in legs, lips and Rt. side of face, shortness of breath, chest pain, symptoms happened about 2 hours after immunization, numbness on lips and Rt. side of face still happens occassionally, along with chest pain. pt. states ER MD said high risk of blood clots. 6/29/09 Hospital ER records received DOS 4/28/08. Assessment: Pleuritic chest pain. Patient presented with shortness of breath and chest pain. Worsened deep breathing. Analgesics and steroids administered. Discharged.
VAERS ID: 334508 (history)   Vaccinated: 2008-10-20 Age: 16.0   Onset: 2008-11-08, Days after vaccination: 19 Gender: Female   Submitted: 2008-11-20, Days after onset: 12 Location: Connecticut   Entered: 2008-12-09, Days after submission: 19	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: Sonogram of area, hypoechoic mass CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2754AA 5 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0548X 2 IM RA
Administered by: Private     Purchased by: Unknown Symptoms: Injection site mass, Injection site pain, Ultrasound scan abnormal SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Extravasation events (injections, infusions and implants) (broad) Write-up: Painful cystic/lump to area around injections site. No response to KEFLEX. Had sx started 3 wks after injection - ??
VAERS ID: 334515 (history)   Vaccinated: 2008-11-17 Age: 13.0   Onset: 2008-11-17, Days after vaccination: 0 Gender: Female   Submitted: 2008-11-19, Days after onset: 2 Location: California   Entered: 2008-12-09, Days after submission: 20	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: N/A Current Illness: NONE Preexisting Conditions: NONE Diagnostic Lab Data: N/A CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 2 IM RA
Administered by: Private     Purchased by: Private Symptoms: Oedema peripheral SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: 13 Y/O received 3rd dose of GARDASIL at 10 am in right arm developed swelling of right hand in the evening. On exam she had edema of fingers & palm of the hand with no erythema, there was no tenderness on the hand. No fever good cap refill good radial pulse, sensory intact. Injection site looked good. Patient was examined 28 hrs after the vaccine was given.
VAERS ID: 334559 (history)   Vaccinated: 2008-11-18 Age: 11.0   Onset: 2008-11-18, Days after vaccination: 0 Gender: Female   Submitted: 2008-11-19, Days after onset: 1 Location: Pennsylvania   Entered: 2008-12-09, Days after submission: 20	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Shellfish Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) GLAXOSMITHKLINE BIOLOGICALS AC21B115CB 0 UN RA HIBV: HIB (ACTHIB) SANOFI PASTEUR UFF504AA 0 UN RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0652X 0 UN LA PNC: PNEUMO (PREVNAR) PFIZER/WYETH D0L074 0 UN LA
Administered by: Public     Purchased by: Other Symptoms: No adverse event, Wrong drug administered SMQs: Write-up: No adverse reaction after receiving wrong vaccines.
VAERS ID: 334562 (history)   Vaccinated: 2008-11-12 Age: 17.0   Onset: 2008-11-12, Days after vaccination: 0 Gender: Female   Submitted: 0000-00-00 Location: Oklahoma   Entered: 2008-12-09	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0067X 0 IM LA
Administered by: Public     Purchased by: Public Symptoms: Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Client fainted after injection, BP 78/54 took pt to lie down BP increased 106/68 and she started feeling better (5-7 min)
VAERS ID: 334582 (history)   Vaccinated: 2008-12-03 Age: 20.0   Onset: 2008-12-04, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-09, Days after onset: 5 Location: Maryland   Entered: 2008-12-09	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: NONE Current Illness: NO Preexisting Conditions: NO Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR   0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR   1 IM LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC.   1 SC LA
Administered by: Private     Purchased by: Private Symptoms: Injection site erythema, Injection site induration SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: Vaccine administered in left arm and next day area was red and had a 3-4cm induration.
VAERS ID: 334597 (history)   Vaccinated: 2008-12-02 Age: 17.0   Onset: 2008-12-02, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-09, Days after onset: 7 Location: California   Entered: 2008-12-09	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Diagnostic Lab Data: NONE CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2833AA 2 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 1 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2814AA 0 IM RA
Administered by: Public     Purchased by: Public Symptoms: Immunisation reaction, Pruritus, Swelling SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad) Write-up: REACCTION TO MCV, SWOLLEN,ITCHY
VAERS ID: 334609 (history)   Vaccinated: 2007-12-27 Age: 25.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-06-30 Location: New York   Entered: 2008-12-09, Days after submission: 162	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: none Preexisting Conditions: Diagnostic Lab Data: I have not done any lab test but I had consulted one doctor regarding my irregular period. He said it was due to irregular hormonal change. However, I had not experienced that before taking the HPV shot. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Alopecia, Dermatitis allergic, Fatigue, Heart rate irregular, Hypertension, Menstruation delayed SMQs:, Neuroleptic malignant syndrome (broad), Hypertension (narrow), Cardiac arrhythmia terms, nonspecific (narrow), Fertility disorders (broad), Hypersensitivity (narrow) Write-up: I took my HPV shots abroad. The first shot I took was on December 27th 2007. It didn''t feel anything special after this first one. I took my first shot before March 1st 2008. Days after my second shot, I start growing out breakouts (which looks like skin allergy) on my face. It has been bothering me until now. I have also experienced increase of hair loss compared to before taking the shot. After taking the 3rd HPV shot, my skin allergic problem has worsen. It also affected my monthly menstruation cycle. It basically shifted my cycle from normally 30 days to now 34 days. After having taken all 3 shots, i feel like i get tired alot easier than before. I went for an annual body check, I was now told that I have high blood pressure. My cardio result showed that I have irregular heart beat according to the nurse.
VAERS ID: 334611 (history)   Vaccinated: 2008-11-26 Age: 19.0   Onset: 2008-12-08, Days after vaccination: 12 Gender: Female   Submitted: 2008-12-10, Days after onset: 2 Location: Illinois   Entered: 2008-12-10	Life Threatening? No Died? Yes    Date died: 2008-12-08    Days after onset: 0 Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None known. ?? oral contraceptive or an antibiotic for acne. Current Illness: None. Preexisting Conditions: Acne. PMH: PCN allergy. Acne. On OCs (Yaz). 12/10/2008 Recived records from health center via CDC. Seen 11/3/08 with c/o sore throat, cough, muscle aches and nasal d/c. PE (+) for pharyngeal erythema, purulent nasal drainage, nasal turbinate changes, and lymphadenopathy. Assessment: Probable viral URI with ? sinusitis. Tx: Biaxin. Diagnostic Lab Data: Autopsy performed 12-9-08 was unrevealing per family verbal report to me; no signs of intracranial bleed, meningitis, cardiomyopathy, trauma. Toxicology report still pending at this time. Post-mortem tox screen (-). CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500569P       HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 2   LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2730AA     RA
Administered by: Unknown     Purchased by: Unknown Symptoms: Autopsy, Cold sweat, Death, Dizziness, Headache, Malaise, Nausea, Toxicologic test normal, Urinary incontinence SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad) Write-up: Patient, a previously healthy 19 year-old female college freshman died suddenly yesterday, approximately 10 days after receiving Gardasil & menningococcal vaccines. Vaccines were administered by a medical provider in her hometown while she was home for the Thanksgiving holiday, sometime around 11-28-08. She had a medical appointment pending for 12-8-08 (the day of her death) with the Student Health Service; medical clerk had entered "possible seizure" as the reason for making the appointment. Patient had no history of epilepsy. She complained of a headache and not feeling well in the 24 hours prior to her death. She went to bed at 10:30 PM on 12-7-08, in her dorm room with a roomate. She appeared to still be sleeping the next morning when her roomate left for class. Her body was discovered still in bed around 5 PM that day (12-8-08) with rigor mortis. No history of substance abuse, alcohol intake, or depression or other mental health issues. She was a happy, achieving student. This report is filed by a friend of patient''s parents, who is a physician (board certified internal medicine & geriatrics). Report also filed online today with the FDA. Patient''s mother can be reached at home for additional details. Memorial service & funeral 12-12-08 and 12-13-08. Only known past medical history requiring physician attention was facial acne. 12/10/2008 Recived records from health center via CDC. Seen 11/3/08 with c/o sore throat, cough, muscle aches and nasal d/c. PE (+) for pharyngeal erythema, purulent nasal drainage, nasal turbinate changes, and lymphadenopathy. Assessment: Probable viral URI with ? sinusitis. Tx: Biaxin. Received from CDC via email: The patient had no previous health problems. She was a freshman and was seen at the college health clinic only once on 11/3/08 for sinusitis. She was on Yaz birth control pills and a topical acne medication. After the death, police questioned her roommate who said that the pt did go out on the evening of 12/6/08 and had a few alcoholic drinks, but not an excessive a
VAERS ID: 334646 (history)   Vaccinated: 2008-11-11 Age: 15.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-11-12 Location: Washington   Entered: 2008-12-09, Days after submission: 27	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0229X 2 UN LA
Administered by: Private     Purchased by: Public Symptoms: Urticaria SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow) Write-up: @ 5 hours post immunization developed 2 hives on (L) shoulder/neck. Symptoms observed by father not health care professional.
VAERS ID: 334667 (history)   Vaccinated: 2008-12-03 Age: 17.0   Onset: 2008-12-05, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-09, Days after onset: 4 Location: Virginia   Entered: 2008-12-09	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None known Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB320AA 0 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1448U 0 IM LA IPV: POLIO VIRUS, INACT. (IPOL) SANOFI PASTEUR A11092 2 IM LA
Administered by: Public     Purchased by: Public Symptoms: Dizziness, Pyrexia, Rash SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow) Write-up: 12/03/08, Hep A, HPV, IVP administered. 12/05/08, red, non-raised rash bilateral antecubitals. 12/07/08, fever, high 102+/-. 12/08/08, dizziness. 12/09/08, temp 103.9 (T). Denies nausea/vomiting, rash remains. Alert and oriented c/o dizziness, advised TYLENOL prn and referred to PCP to seek medical care immediately if symptoms worsen.
VAERS ID: 334679 (history)   Vaccinated: 2008-11-20 Age: 21.0   Onset: 2008-11-20, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-08, Days after onset: 18 Location: California   Entered: 2008-12-09, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0279X   IM LA TD: TD ADSORBED (NO BRAND NAME) MASS. PUB HLTH BIOL LAB A008B   IM RA UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) UNKNOWN MANUFACTURER C2910AA   ID LA
Administered by: Public     Purchased by: Public Symptoms: Dizziness, Nausea SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad) Write-up: Dizziness, nausea.
VAERS ID: 334777 (history)   Vaccinated: 2008-12-02 Age: 14.0   Onset: 2008-12-03, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-04, Days after onset: 1 Location: Massachusetts   Entered: 2008-12-09, Days after submission: 5	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Penicillin Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1183X 1 UN LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 0947X 1 UN LA
Administered by: Private     Purchased by: Private Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: About 24 hours after receiving VARIVAX in her left arm, patient noticed a large swollen itchy red area at the injection site on her left arm. She took BENADRYL 25mg, but it did not have much effect on symptoms. On exam 12-4-08, there is an 8cmx7cm red,indurate, swollen area on left upper arm.
VAERS ID: 334779 (history)   Vaccinated: 2008-11-26 Age: 13.0   Onset: 2008-11-26, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-01, Days after onset: 5 Location: Colorado   Entered: 2008-12-10, Days after submission: 9	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Unknown Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2751AA 1 UN LA HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB260AA 0 UN LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 0 UN RA
Administered by: Private     Purchased by: Private Symptoms: Dizziness, Fall, Immediate post-injection reaction, Loss of consciousness SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow) Write-up: Patient received HAVRIX, FLUZONE, GARDASIL. After receiving shots she was sitting on chair and felt really dizzy --$g Fell on to floor (+LOC). She woke up on the floor. Approximately 5 to 10 after event, no pain, vitals normal, A&O X3.
VAERS ID: 334833 (history)   Vaccinated: 2008-11-18 Age: 15.0   Onset: 2008-11-18, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-08, Days after onset: 20 Location: Unknown   Entered: 2008-12-10, Days after submission: 2	Life Threatening? No Died? No Permanent Disability? Yes Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: urinalysis CDC 'Split Type': WAES0812USA00549
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Dizziness, Gait disturbance, Nausea, Orthostatic hypotension, Sensation of heaviness, Urine analysis, Vision blurred SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad) Write-up: Information has been received from a Registered Nurse concerning a 15 year old female patient with no known drug reactions or allergies and medical history who on 10-APR-2007 was vaccinated with first dose of GARDASIL (Lot number not provided) 0.5ml, intramuscularly. There was no concomitant medication. On 18-NOV-2008 she received her second dose of GARDASIL (Lot # 661703/0651X) 0.5ml, intramuscularly. On 19-NOV-2008 the patient developed dizziness, nausea, blurred vision, and a feeling of her legs being "heavy and wobbly". It was reported that the patient had difficulty walking due to wobbly legs. The patient was seen in the office that day and was found to have orthostatic hypotension. Urinalysis was performed to rule out dehydration. The patient was advised to increase liquid intake and to rest. An office visit on 20-NOV-2008 revealed the hypotension improved. The patient contacted the office by phone on 21-NOV-2008 and stated the symptom of "wobbly legs" was resolving. Subsequently, she has completely recovered. The patient''s difficulty walking due to "wobbly legs" and orthostatic hypotension were considered disabling by the reporter. Additional information has been requested.
VAERS ID: 334836 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-08 Location: Unknown   Entered: 2008-12-10, Days after submission: 2	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA01244
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Convulsion SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow) Write-up: Information has been received from a physician who heard from another physician concerning a female who was in high school and was vaccinated with a dose of GARDASIL. Later on during the day ended up, the patient experienced seizure that lasted almost an hour. After the seizure was under control, the patient was taken the clinic for follow-up where it was determined that the seizure was related to therapy with GARDASIL. The patient''s outcome was unknown. Upon internal review, seizure was determined to be an other medical event. No further information is available.
VAERS ID: 334845 (history)   Vaccinated: 2007-11-07 Age: 18.0   Onset: 2007-11-07, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-09, Days after onset: 398 Location: Ohio   Entered: 2008-12-10, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Pregnancy NOS (LMP = 9/30/2007) Preexisting Conditions: Diagnostic Lab Data: urine beta-human, Positive CDC 'Split Type': WAES0711USA01935
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0187U 0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Information has been received from a nurse through a Merck pregnancy registry concerning an 18 year old female with no pertinent medical history, drug reactions/allergies or concomitant medication use who on 07-NOV-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of the GARDASIL (lot#656049/0187U). The patient was found to be pregnant post vaccination. Patient sought unspecified medical attention and pregnancy was confirmed with a positive urine pregnancy test. Date of LMP is 30-SEP-2007 and estimate delivery date is 06-JUL-2008. Follow-up information has been received from the nurse, which reported that the patient had a first trimester termination of her pregnancy (date unspecified). The patient was very upset at the unexpected pregnancy and had personal reasons to choose a termination. The reported also stated that it was not chosen because the patient had received the GARDASIL. The patient was fine and did not have any complications. Upon internal review, abortion induced was considered to be an other important medical event. Additional information has been requested.
VAERS ID: 334846 (history)   Vaccinated: 2008-09-25 Age: 16.0   Onset: 2008-10-09, Days after vaccination: 14 Gender: Female   Submitted: 2008-12-09, Days after onset: 61 Location: Unknown   Entered: 2008-12-10, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Electroencephalography, 11/20/08, epileptic focus; spinal tap; magnetic resonance; blood pressure, blood pressure decreased; serum ANA, positive; temperature measurement, 10/30/08, 37/38 C, fever CDC 'Split Type': WAES0811BRA00079
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     IM UN
Administered by: Unknown     Purchased by: Unknown Symptoms: Abnormal behaviour, Aggression, Agitation, Anorexia, Antinuclear antibody positive, Anxiety, Asthenia, Blood pressure decreased, Body temperature increased, CSF white blood cell count increased, Choking, Delirium, Dizziness, Electroencephalogram abnormal, Euphoric mood, Hallucination, Insomnia, Loss of consciousness, Lumbar puncture, Malaise, Nightmare, Nuclear magnetic resonance imaging, Poor quality sleep, Pyrexia, Rash erythematous, Salivary hypersecretion, Speech disorder, Suicidal ideation, Syncope, Systemic lupus erythematosus, Thirst, Weight decreased SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Angioedema (broad), Suicide/self-injury (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hostility/aggression (narrow), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow) Write-up: Information has been received from an employee concerning a 16 year old female, who on 25-SEP-2008 was vaccinated with GARDASIL (1st dose). The patient never had any psychiatric event, athlete (she plays sand volleyball), does not use to get out at night, studding the 2nd year of high school. Anybody in the family has a history of psychiatric disease or had taken anytime drugs for this condition. Her family begins to notice that the patient was very thirsty (she drunk 31 or more daily), very high anxiety and euphoria approximately 15 days before the outbreak (09-OCT-2008). She used to write happiness notes to her mother, talk about everything with her eyes widened-she gave the impression that "there is no one so happy than me". Her family begins to be surprised, but didn''t think that I was something important or severe. On 23-OCT-2008, the patient left school and come back to her home because she had a malaise. On 23 and 24-OCT-2008, she had a very severe insomnia (she slept very little time and woke up thereafter with a peculiar anxiety). Insomnia was higher at the day- break between days 24 and 25-OCT-2008. In the morning of day 25-OCT-2008, from the morning until afternoon the patient was loosing her control, very agitated and anxious- she beat in her relatives, asked for a beer, asked for a knife, she throw out to a window (that had a rail), she told that she was going to materialize with the sofa (hallucinations), much anxiety. The reporter compared the patient''s behavior with the character of the movie "exorcist". Starting in the morning, during the afternoon the picture was more intense, the pictures appeared and the patient was uncontrollable. At night, the psychiatrist was called who prescribed EUTONIS, performed a sub-valuation, stating that "it was a very small crisis, with no importance". The patient took a tablet that had no effect, and the physician ordered to take a second one, which she took, but without any effect. The patient nodded (sometimes for 5-10 minutes), when she arouses she didn''t disti
VAERS ID: 334853 (history)   Vaccinated: 2008-11-14 Age: 12.0   Onset: 2008-11-14, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-10, Days after onset: 26 Location: Louisiana   Entered: 2008-12-10	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) UNKNOWN MANUFACTURER         HPV4: HPV (GARDASIL) MERCK & CO. INC.   0     TTOX: TETANUS TOXOID (NO BRAND NAME) UNKNOWN MANUFACTURER
Administered by: Private     Purchased by: Unknown Symptoms: Hypoacusis, Hypotension, Immediate post-injection reaction, Monoplegia, Nausea, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: Immediatly following the vaccine of the Gardisil or HPV she lost partial hearing and had leg paralysis. She fainted and felt nauseated. She was excused to leave less than 10 minutes later. Less than 2 hours later the leg paralysis returned as did the fainting and nausea. The ER doctor stated she had severe low blood pressure that could be causing the inability to use her legs.
VAERS ID: 334868 (history)   Vaccinated: 2008-12-08 Age: 13.0   Onset: 2008-12-10, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-10, Days after onset: 0 Location: New York   Entered: 2008-12-10	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: SINGULAIR, ZYRTEC AS NEEDED Current Illness: NONE Preexisting Conditions: ASTHMA Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0072X 1 IM LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1324X 1 SC RA
Administered by: Private     Purchased by: Private Symptoms: Injection site erythema, Injection site pain, Injection site warmth SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: RECEIVED CHICKENPOX VACCINE 2 DAYS AGO. NOTICED TODAY REDNESS AROUND THE SITE AND WARM TO THE TOUCH. REDNESS MEASURED 4.5CM X 5CM. ALSO COMPLAINED OF PAIN AT INJECTION SITE. ADVIDED SYMPTOMATIC TREATMENT.
VAERS ID: 334870 (history)   Vaccinated: 2008-11-25 Age: 20.0   Onset: 2008-11-25, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-10, Days after onset: 15 Location: California   Entered: 2008-12-10	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: birth control pills, topical antibiotic for acne (cleocin) and occasional Claritin/Nasocort for allergies Current Illness: None Preexisting Conditions: Allergic rhinitis, dishydrotic eczema, acne Diagnostic Lab Data: none CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 1 IM LA
Administered by: Public     Purchased by: Public Symptoms: Dizziness, Dyspnoea, Feeling jittery, Injection site induration, Injection site mass, Oedema peripheral, Somnolence SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad) Write-up: After 2nd HPV vaccine patient reported feeling fine for 6 hours, then got excessively sleepy for 2 weeks after and had swollen arm with a large hard lump the size of a golf ball at vaccine admin stie. At least 1 week after had episodes of feeling faint, dizzy, and shortness of breath. Felt light-headed and jittery for 2 weeks thereafter. Self-treated with hot compresses on vaccine site and benadryl.
VAERS ID: 334902 (history)   Vaccinated: 2008-12-10 Age: 14.0   Onset: 2008-12-10, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-10, Days after onset: 0 Location: Pennsylvania   Entered: 2008-12-10	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: Vaso Vagal reaction CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2742AA 0 UN LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 05484 0 UN RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2486AA 0 UN LA
Administered by: Private     Purchased by: Private Symptoms: Dizziness, Syncope, Syncope vasovagal SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Pt given immunizations getting up to leave felt faint or fainted. Alert and oriented after 15 seconds.
VAERS ID: 334925 (history)   Vaccinated: 2008-07-22 Age: 14.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-11-14 Location: Pennsylvania   Entered: 2008-12-11, Days after submission: 27	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type': WAES0810USA04910
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0063X 2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site pain, Menstruation irregular SMQs:, Extravasation events (injections, infusions and implants) (broad), Fertility disorders (broad) Write-up: Information has been received from a physical therapist concerning her daughter a 16 year old female with no pertinent medical history reported and no known drug allergies who on 06-NOV-2007 was vaccinated with the first dose of GARDASIL (lot n. 658490/08020), 0.5 mL, intramuscularly. On 08-JAN-2008, the patient was vaccinated with a second dose of GARDASIL (lot n. 658094/0524U). On 22-JUL-2008, the patient was vaccinated with a third dose of GARDASIL (lot n. 660391/0063X). The physical therapist reported that her daughter has had irregular menstrual cycles since administration of her third dose of GARDASIL. Her one and only menstrual period occurred 6 to 7 weeks after receiving her third dose. The patient also experienced injection site soreness on an unspecified date. The patient called to the office. At the same time of reporting the patient had not recovered. This is one of two reports from the same source. Additional information has been requested
VAERS ID: 334932 (history)   Vaccinated: 0000-00-00 Age: 15.0   Onset: 2007-09-10 Gender: Female   Submitted: 2008-12-08, Days after onset: 455 Location: Unknown   Entered: 2008-12-11, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: No allergies to anything. Never experienced heart pain or discomfort prior to this series of shots. Diagnostic Lab Data: Xray-heart no inflamed, Feb2008; EKG-low resting heart rate, Feb 2008; EKG- Mitro Valve Proplapse, April 2008. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Unknown     Purchased by: Unknown Symptoms: Cardiac disorder, Electrocardiogram abnormal, Mitral valve prolapse, Palpitations, X-ray normal SMQs:, Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad) Write-up: Heart problems related to GARDASIL vaccine. My daughter has experienced severe heart palpation''s. She has been diagnosed with Mitro Valve Prolapse and struggles with heart palpitations on an ongoing basis. She never had any of these problems prior to her getting the first shot of the vaccine. She is visiting a cardiologist to see what other problems there maybe with her heart. I feels all these symptoms started after her first dose of GARDASIL vaccine. I never made the connections and she has received all three of the series of shots. Until my daughter brought it up in a conversations about a friend of hers at school experienced a similar reaction to her heart after she received the GARDASIL did I finally realize there might be a connection to this drug.
VAERS ID: 334934 (history)   Vaccinated: 2008-11-19 Age: 23.0   Onset: 2008-11-21, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-08, Days after onset: 17 Location: Iowa   Entered: 2008-12-11, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: ~Pertussis (no brand name)~UN~0~In Patient Other Medications: NUVARING; BENADRYL Current Illness: No known Preexisting Conditions: See # 7 Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0573X 0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Pyrexia, Rash erythematous, Rash papular, Rash pruritic SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow) Write-up: GARDASIL # 1 given 11/19/08. On 11/21, pruritus and papular red rash. Low grade fever. Have hx. of allergic reaction to PCN, Sulfa, Bee stings and pertussis vaccine.
VAERS ID: 334935 (history)   Vaccinated: 2008-11-25 Age: 17.0   Onset: 2008-11-25, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-04, Days after onset: 9 Location: Texas   Entered: 2008-12-11, Days after submission: 7	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Known Current Illness: None Preexisting Conditions: Syncope 1/19/07 Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500585P 0 IN   HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Fatigue, Musculoskeletal stiffness, Nausea, Posture abnormal, Tremor, Urinary incontinence SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow) Write-up: After nurse gave FLUMIST and GARDIASIL, pt''s face went blank and pt head deviated to the right, also pt''s arms went stiff in extension; hands shook a little, legs extended also & loss of urine onto floor, lasted 30-60 seconds, pt was tired and nauseous afterward. No vomiting.
VAERS ID: 334939 (history)   Vaccinated: 2008-12-04 Age: 15.0   Onset: 2008-12-05, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-08, Days after onset: 3 Location: North Carolina   Entered: 2008-12-11, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0548X 1 IM RA
Administered by: Private     Purchased by: Private Symptoms: Joint swelling, Pain in extremity SMQs:, Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Severe bilateral hand pain, swelling, right wrist, elbow, foot pain and swelling. Onset 20 hours after 2nd injection in Right elbow. Treated 2-6 hours with MOTRIN x 48 hours.
VAERS ID: 334944 (history)   Vaccinated: 2008-10-29 Age: 12.0   Onset: 0000-00-00 Gender: Female   Submitted: 0000-00-00 Location: Connecticut   Entered: 2008-12-11	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: X-ray; Ultrasound Hips; WBC; CBC; WMC (WBC 7.2), ESR 7, CK 95; Lyme, neg; RA factor, neg, ANA, neg LABS: hip US WNL. CBC, ESR, CK, ANA, RA, CRP all WNL. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2769AA 1 IM UN HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB259AA 0 IM UN HPV4: HPV (GARDASIL) MERCK & CO. INC. 1487U 2 IM UN VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1185X 1 SC UN
Administered by: Public     Purchased by: Public Symptoms: Antinuclear antibody negative, Arthralgia, Blood creatine phosphokinase normal, Borrelia burgdorferi serology negative, C-reactive protein normal, Conversion disorder, Full blood count normal, Gait disturbance, Musculoskeletal stiffness, Red blood cell sedimentation rate normal, Rheumatoid factor negative, Sleep disorder, Ultrasound Doppler normal, X-ray normal SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad) Write-up: Within one week of immunizations patient developed hip arthralgia, in (R) hip then both, crutches, seen 11/25/08 1st. Referred to Rheumatology at Med. Ctr. 1/21/09 Received Rheumatology clinic records of 12/3/08 FINAL DX: probable conversion reaction Records reveal patient had right hip pain x 3 weeks. Seen by PCP & in ER for pain. X-rays were WNL. Now w/bilateral hip pain & unable to walk w/o crutches. Sleep was disturbed. Morning stiffness. NSAIDS had not helped. tx w/meds & PT
VAERS ID: 334953 (history)   Vaccinated: 2008-08-29 Age: 27.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-11-14 Location: California   Entered: 2008-12-11, Days after submission: 27	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Hormonal contraceptives Current Illness: Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type': WAES0810USA05085
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Inappropriate schedule of drug administration, Joint swelling, Lymphoedema SMQs:, Retroperitoneal fibrosis (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Information has been received from a physician concerning an approximately 27 year old female patient with no known pertinent medical history, or no known drug reactions/allergies, who "2 months ago", on approximately 29-AUG-2008, was vaccinated with the first dose of GARDASIL, 0.5 ml, intramuscularly. Concomitant therapy included birth control pills. The physician reported that after the patient was vaccinated she developed generalized lymphedema. The patient sought medical attention at physician''s office. On an unknown date the patient had recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 11/14/2008. Follow-up information has been received from a physician who reported that he was working on a cruise ship and a female lady asked him if ankle swelling was a wide effect of GARDASIL vaccine. Tha''s why he called. The physician never saw the patient again. Additional information is not expected.
VAERS ID: 335048 (history)   Vaccinated: 2008-11-04 Age: 12.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-11 Location: South Dakota   Entered: 2008-12-11	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP: DTAP (TRIPEDIA) SANOFI PASTEUR U2396BA   IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0067X 1 IM RA
Administered by: Unknown     Purchased by: Public Symptoms: Wrong drug administered SMQs: Write-up: Patient given DTaP rather than Tdap
VAERS ID: 335058 (history)   Vaccinated: 2008-12-08 Age: 11.0   Onset: 2008-12-09, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-11, Days after onset: 2 Location: Florida   Entered: 2008-12-11	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: NONE THAT MOTHER STATE Preexisting Conditions: NONE SPECIFIED Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. MSD 0651X 0 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR PMC U2421AA 0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR PMC UF452A 0 IM LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. MSD 0537X 4 SC RA
Administered by: Unknown     Purchased by: Public Symptoms: Body temperature increased, Discomfort, Injection site erythema, Injection site vesicles, Injection site warmth, Malaise SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad) Write-up: Mother state school called her to get child from school 12/10/08 not feeling well slight temperature, blister, red and hot at site of shot "RTR" "area looks like it was burned". Mon called in the reported issues. Cold compress helped with discomfort use of Tylenol for fever.12/11/08 @2:32PM called mother state temp 102.4 last night Tylenol help the large blister broke there are still some small once, will take picture of them, but child in school today
VAERS ID: 335100 (history)   Vaccinated: 2008-05-28 Age: 16.0   Onset: 2008-05-28, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-01, Days after onset: 187 Location: Minnesota   Entered: 2008-12-11, Days after submission: 10	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: ORTHOTRICYELEN LO Current Illness: None Preexisting Conditions: AMOXICILLIN and Penicillin allergy; History of reflux Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 19684 0 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2564AA 0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR C2937BA 0 IM RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 13664 1 SC LA
Administered by: Other     Purchased by: Public Symptoms: Hypotonia, Loss of consciousness, Pallor, Unresponsive to stimuli SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (narrow), Generalised convulsive seizures following immunisation (narrow) Write-up: After patient received vaccine, LOC (loss of consciousness). Medical assistant supported her head to prevent head injury and patient brought to floor to lay down. Feet raised , patient flaccid, skin pale, non responsive. Within 20 seconds patient opened eyes and tried to getup. BP(blood pressure) =116/70; P (pulse) - 68. Patient had not eaten. After resting x 45 minutes, patient left clinic.
VAERS ID: 335101 (history)   Vaccinated: 2008-11-24 Age: 13.0   Onset: 2008-11-24, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-11, Days after onset: 17 Location: Minnesota   Entered: 2008-12-11	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR 42848AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0072X 0 IM LA MMR: MEASLES + MUMPS + RUBELLA (MMR II) MERCK & CO. INC. 02824 1 SC RA
Administered by: Other     Purchased by: Public Symptoms: Fall, Immediate post-injection reaction, Loss of consciousness, Pallor SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow) Write-up: LOC after vaccine administered. Caught by MA pt did not hit head. Brought to exam table and leveled pt lupine LOC about 30 seconds total. After 30 seconds pt responsive, pale. BP=100/62; P=68 states never fainted with vaccine previously.
VAERS ID: 335126 (history)   Vaccinated: 2008-10-20 Age: 26.0   Onset: 2008-10-27, Days after vaccination: 7 Gender: Female   Submitted: 2008-12-11, Days after onset: 45 Location: Missouri   Entered: 2008-12-12, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: [therapy unspecified] Current Illness: Asthma; Sulfonamide allergy Preexisting Conditions: Diagnostic Lab Data: None CDC 'Split Type': WAES0812USA00589
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0947X 0 IM RA
Administered by: Other     Purchased by: Other Symptoms: Asthma, Injection site erythema, Pruritus generalised, Rash generalised SMQs:, Anaphylactic reaction (narrow), Asthma/bronchospasm (narrow), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow) Write-up: Information has been received from a Licensed practical nurse (LPN) concerning a 26 year old female patient, with concurrent condition of asthma and sulfonamide allergy who on 20-OCT-2008 was vaccinated with the first dose of GARDASIL intramuscularly into the right deltoid (lot# 0947X). Concomitant therapy included rescue inhaler. On approximately 27-OCT-2008, the patient experienced systemic rash, redness at the injection site, systemic itching and asthma attacks. She was prescribed BENADRYL, used her rescue inhaler, and had a steroid injection. After two weeks, the patient recovered (2008). The LPN considered the systemic rash, redness at the injection site, systemic itching and asthma attacks to be Other Important Medical Events. Additional information has been requested.
VAERS ID: 335129 (history)   Vaccinated: 2007-10-26 Age: 21.0   Onset: 2008-02-01, Days after vaccination: 98 Gender: Female   Submitted: 2008-12-11, Days after onset: 314 Location: Florida   Entered: 2008-12-12, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: ORTHO TRI-CYCLEN Current Illness: Pregnancy NOS (LMP = 2/1/2008) Preexisting Conditions: Diagnostic Lab Data: diagnostic laboratory, basic lab work CDC 'Split Type': WAES0812USA01616
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Foetal disorder, Laboratory test SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow) Write-up: Information has been received from a 22 year old female patient, for the pregnancy registry for GARDASIL, with no pertinent medical history and no known drug allergies/drug reactions, who on 26-OCT-2007 was vaccinated with the first dose of GARDASIL (Lot # not provided). It was noted that the patient did not receive her second or third doses. Concomitant therapy included ORTHO TRI-CYCLEN. The patient became pregnant in February 2008 and gave birth on 13-NOV-2008. Her son was born with duodenal atresia and only one kidney. It was noted that the umbilical cord formed correctly but was not nourished "correctly" and therefore it looked "mutilated". There was also a tear in the umbilical cord near the belly button. The patient sought medical attention with the physician. Additional information has been requested.
VAERS ID: 335135 (history)   Vaccinated: 2007-01-30 Age: 19.0   Onset: 2007-01-30, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-11, Days after onset: 681 Location: Georga   Entered: 2008-12-12, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: NUVARING Current Illness: Pregnancy NOS (LMP = 3/31/2007); Allergic reaction to antibiotics Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA00535
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Foetal disorder SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow) Write-up: Information has been received from a registered nurse through the pregnancy registry for GARDASIL concerning a 20 year old female patient with zithromycin allergy who on 29-NOV-2006 was vaccinated with the first dose of GARDASIL 0.5 mL IM and on 30-JAN-2007 with the second dose of GARDASIL 0.5 mL IM. Concomitant therapy included NUVARING. The patient became pregnant during the GARDASIL series. Approximately around December 2007, the patient delivered a male child early at 35-36 weeks gestation with a congenital anomaly that was diagnosed with cardiomyopathy (also reported as cardiac defect). The patient received all her prenatal care with an OB-GYN physician. It was unknown if the patient received the third dose of GARDASIL. The patient sought medical attention at office visit. Cardiomyopathy (cardiac defect) was considered a congenital anomaly by the nurse. Additional information has been requested.
VAERS ID: 335138 (history)   Vaccinated: 2008-04-23 Age: 22.0   Onset: 2008-04-23, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-11, Days after onset: 232 Location: Unknown   Entered: 2008-12-12, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Pregnancy NOS (LMP = 3/17/2008); Hearing loss bilateral Preexisting Conditions: Vaginal infection; Alcohol abuse; Urinary tract infection Diagnostic Lab Data: urine beta-human, 04/23/08, unclear; serum beta-human, 04/23/08, positive CDC 'Split Type': WAES0805USA03622
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1978U 0 IM RA
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Foetal disorder, Pregnancy test positive, Urine human chorionic gonadotropin SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Initial and follow-up information has been received from a certified nurse midwife, for the Pregnancy Registry for GARDASIL, concerning a 22 year old female with inherited bilateral sensoneural hearing loss and a history of vaginal bacterial infections, alcohol abuse and urinary tract infections, and no known drug allergies, who on 23-APR-2008 was vaccinated intramuscularly in the right arm with a 0.5 ml first dose of GARDASIL (Lot# 659964/1978U) while pregnant. There was no adverse event post vaccination. Other medications included prenatal vitamins (unspecified). Prior to the vaccination, the patient was administered a urine and blood test to test for pregnancy. The urine test result was unclear. The blood test result came back with a positive result the next day (LMP = 17-Mar-2008). Results are pending for an ultrasound and CF screen performed on an unspecified date. Unspecified medical attention was sought in the office. The patient''s outcome is unknown. Follow-up information was received. Other medications included prenatal vitamins, started on 05-MAY-2008, 1 tablet daily for pregnancy. Complication during pregnancy included fetal vascular thrombosis. On 25-NOV-2008, more than 35 weeks from LMP, the patient experienced fetal death/still birth. The products of conception were examined. The fetus was normal. Upon internal review, fetal death/still birth was determined to be an other important medical event. No further information is available.
VAERS ID: 335141 (history)   Vaccinated: 2007-12-01 Age:    Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-11 Location: Puerto Rico   Entered: 2008-12-12, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Pregnancy NOS (LMP = Unknown) Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA00356
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Caesarean section, Drug exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Write-up: Information has been received from a physician, for the Pregnancy Registry for GARDASIL concerning a female who in December 2007, was vaccinated with the second dose of GARDASIL (dose, route, lot# not reported). The patient learned that she was pregnant in April 2008 and delivered the baby in October 2008. She had a "C-section", but she delivered a healthy baby. The patient had not yet received the third dose of GARDASIL. No further information was available. Obstetrical complication was considered as an other important medical events. Additional information has been requested.
VAERS ID: 335142 (history)   Vaccinated: 2008-07-02 Age: 23.0   Onset: 2008-07-04, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-11, Days after onset: 160 Location: Nevada   Entered: 2008-12-12, Days after submission: 1	Life Threatening? Yes Died? No Permanent Disability? Yes Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: YASMIN Current Illness: Preexisting Conditions: None Diagnostic Lab Data: Unknown LABS: CT abdomen abnormal w/peripancreatic edema & free intraperitoneal fluid. US of abdomen WNL. Lipaase 209 (H). Amylase 304 (+). WBC 13,700(H). LFTs WNL. Blood c/s neg. Urinalysis WNL. CDC 'Split Type': WAES0812USA01598
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Abdominal pain, Alcohol use, Blood amylase increased, Blood culture negative, Computerised tomogram abnormal, Contraception, Diarrhoea, Lipase increased, Liver function test normal, Pancreatitis, Pyrexia, Ultrasound abdomen normal, Urine analysis normal, Vaccination complication, Vomiting, White blood cell count increased SMQs:, Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow) Write-up: Information has been received from a physician concerning a 23 year old female with no allergy or medical history who on 02-JUL-2008 was vaccinated with the first dose of GARDASIL, 0.5ml, IM. Concomitant therapy included YASMIN. 2 days after the vaccination (on 04-JUL-2008) the patient developed pancreatitis. The patient was admitted to an unknown hospital on 04-JUL-2008 and was diagnosed with pancreatitis. The physician is unable to provide details of the hospitalization except that the patient was discharged fully recovered on 09-JUL-2008. The patient underwent abdominal ultrasound during hospitalization. The physician considered the pancreatitis to be immediately life threatening and disabling. Additional information has been requested. 1/20/09 Reviewed hospital medical records of 7/5-7/9/2008 FINAL DX: acute pancreatitis; recent Gardasil shot; use of BCP for contraception. Records reveal patient experienced abdominal cramping pain, diarrhea, vomiting, fever after light ETOH consumption day prior to admit. GI consult done. Tx w/IVF & kept NPO. Improved & d/c to home w/PCP f/u.
VAERS ID: 335143 (history)   Vaccinated: 2008-04-01 Age: 15.0   Onset: 2008-04-02, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-08, Days after onset: 250 Location: Virginia   Entered: 2008-12-12, Days after submission: 4	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: See enclosed skin biopsy CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1757U 2 IM RA
Administered by: Private     Purchased by: Private Symptoms: Biopsy skin, Injection site reaction, Skin reaction SMQs:, Hypersensitivity (narrow) Write-up: Skin reaction around site of injection within weeks of vaccine. Then generalizing over entire skin surface over next 3-4 months.
VAERS ID: 335214 (history)   Vaccinated: 2008-12-09 Age: 4.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Texas   Entered: 2008-12-12	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: N/A Current Illness: N/A Preexisting Conditions: N/A Diagnostic Lab Data: N/A CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site DTAP: DTAP (NO BRAND NAME) UNKNOWN MANUFACTURER UNKNOWN   SC UN HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X   SC UN IPV: POLIO VIRUS, INACT. (NO BRAND NAME) UNKNOWN MANUFACTURER UNKNOWN   UN UN MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) UNKNOWN MANUFACTURER UNNKNOWN   SC UN VARCEL: VARICELLA (NO BRAND NAME) UNKNOWN MANUFACTURER UNKNOWN   UN UN
Administered by: Public     Purchased by: Unknown Symptoms: Inappropriate schedule of drug administration, No adverse event SMQs: Write-up: N/A
VAERS ID: 335216 (history)   Vaccinated: 2008-12-05 Age: 14.0   Onset: 2008-12-10, Days after vaccination: 5 Gender: Female   Submitted: 2008-12-12, Days after onset: 2 Location: Texas   Entered: 2008-12-12	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: NONE KNOWN Current Illness: NONE NOTED Preexisting Conditions: NONE STATED Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 550552P 0 IN   HPV4: HPV (GARDASIL) MERCK & CO. INC. 0381X 0 IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2683AA 0 IM LA TDAP: TDAP (BOOSTRIX) GLAXOSMITHKLINE BIOLOGICALS AC52B030AA 0 IM RA
Administered by: Unknown     Purchased by: Unknown Symptoms: Abdominal pain upper, Drug exposure during pregnancy, Pyrexia SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Write-up: PT RECEIVED FLU MIST, MENINGITIS, TDAP, AND HPV VACCINES ON 12/05/08. ON 12/10/08 DEVELOPED FEVER, STOMACHACHE AND WENT TO EMER RM. PREGNANCY DIAGNOSED @ 8-12 WKS GESTATION. LMP WAS 30 DAYS PRIOR TO VACCINATIONS.
VAERS ID: 335218 (history)   Vaccinated: 2008-12-08 Age: 20.0   Onset: 2008-12-08, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 4 Location: Minnesota   Entered: 2008-12-12	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: none Current Illness: slight fever 99.0 Preexisting Conditions: pcn, vicodin, benadryl,droperidol PMH: iron def anemia, irregular menstruation;off BCP x several months. Diagnostic Lab Data: LABS: WBC 10.8(H), neutros 77.5%, lymps 13.2%(L). Sodium 132(L). UA abnormal. Throat c/s neg. Urine preg neg. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0572X 0 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Abdominal pain, Amenorrhoea, Arthralgia, Blood sodium decreased, Chills, Cough, Culture throat negative, Dehydration, Delirium, Dizziness, Ear pain, Flank pain, Haematuria, Headache, Lymphocyte percentage decreased, Myalgia, Nausea, Neck pain, Neutrophil percentage increased, Oropharyngeal pain, Photophobia, Pregnancy test urine negative, Presyncope, Pyelonephritis, Pyrexia, Syncope, Tremor, Urinary tract infection, Urine analysis abnormal, Vomiting, White blood cell count increased SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Fertility disorders (broad), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (broad) Write-up: high fever, delerious, syncope, dizziness, headache, hematuria, abdominal pain, neck pain, light sensitivity, shaky, nausea 2/12/09 Received ER medical records of 12/11/2008. FINAL DX: abdominal pain, nonspecific; UTI, like pyelonephritis; mod dehyrdation Records reveal patient experienced fever, chills, arthralgias, myalgias, vomiting, abdominal pain, sore throat, cough, HA, lightheaded. Tx w/IVF, antiemetics, antihistamin & IV antibiotics for probably pyelonephritis. Improved & d/c to home on continued oral antibiotics & f/u w/PCP in am. 2/20/09 Received PCP medical records of 12/8-12/12/08 FINAL DX: UTI Records reveal patient experienced likely hormonal amenorrhea w/neg preg urine when seen 12/8/08. RTC 12/12 w/N/V, right flank/RLQ abdominal pain, eye sensitivity, fever, bone/joint pain, shaking chills, ear pain, neck pain, HA, dizziness, near fainting, delerious w/fever. Had been seen in ER for UTI on 12/11. To continue oral antibiotics & return if no improvement. No further records available.
VAERS ID: 335275 (history)   Vaccinated: 2008-07-02 Age: 17.0   Onset: 2008-07-02, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 163 Location: California   Entered: 2008-12-15, Days after submission: 3	Life Threatening? Yes Died? No Permanent Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: YASMIN Current Illness: Preexisting Conditions: None Diagnostic Lab Data: Echocardiography, 11/26/08, right dilated atrium and ventricle with mitral valve and tricuspid regurgitation LABS: Cardiac cath abnormal. CDC 'Split Type': WAES0812USA01810
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Catheterisation cardiac abnormal, Chest pain, Convulsion, Dilatation atrial, Dilatation ventricular, Dyspnoea, Echocardiogram abnormal, Hypoxia, Mitral valve incompetence, Obesity, Pulmonary hypertension, Syncope, Tachycardia, Tricuspid valve incompetence SMQs:, Torsade de pointes/QT prolongation (broad), Cardiac failure (broad), Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow) Write-up: Information has been received from a physician assistant concerning an 18 year old female who on 12-OCT-2007 was vaccinated with the first dose of GARDASIL, the second dose of GARDASIL on 08-FEB-2008, and the third dose of GARDASIL on 02-JUL-2008 (lot numbers and routes were not specified). Concomitant therapy included YASMIN. It was reported that on 02-JUL-2008 after the administration of her third dose the patient experienced shortness of breath and tachycardia upon exertion. The patient has experienced two seizures, the first one was two weeks ago and the second one 3 days ago. An echocardiogram performed on 26-NOV-2008 showed right dilated atrium and ventricle with mitral valve and tricuspid regurgitation. The patient''s heart rate increased from 80 to 150 after a short walk in the physician''s office on 05-DEC-2008. Patient was admitted into the hospital on 05-DEC-2008. Shortness of breath, tachycardia, seizures, resulted in hospitalization and were considered to be disabling and immediately life-threatening. Additional information has been requested. 12/23/08 Reviewed hospital medical records of 12/5-12/12/2008. FINAL DX: severe pulmonary hypertension, etiology unknown; seizure vs pseudoseizure secondary to hypoxia & tachycardia; mild obesity. Records reveal patient experienced SOB, chest pain x approx 6 wks, syncope & seizures x 2. Cardiac consult done.Tx w/meds & improved.
VAERS ID: 335277 (history)   Vaccinated: 2008-12-09 Age: 26.0   Onset: 2008-12-09, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 3 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Vaccination adverse reaction Diagnostic Lab Data: None CDC 'Split Type': WAES0812USA02172
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Confusional state, Convulsion, Dyskinesia, Loss of consciousness SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Dyskinesia (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow) Write-up: Information has been received from a registered nurse concerning a 26 year old female patient who on 09-DEC-2008 was vaccinated with the first dose of GARDASIL, lot # was not specified. After being vaccinated, the patient passed out completely for 60-90 seconds. The nurse stated that 4-5 minutes after the patient came to, she did not make sense and her arms were moving about as if she was having a seizure. The patient reported to her nurse that she had bad luck when it comes to vaccinations (unspecified products and reactions). The patient was referred to primary care physician. Patient recovered. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.
VAERS ID: 335293 (history)   Vaccinated: 2008-12-04 Age: 16.0   Onset: 0000-00-00 Gender: Unknown   Submitted: 0000-00-00 Location: Connecticut   Entered: 2008-12-15	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500553P 0 IN   HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB319AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 3 IM LA
Administered by: Public     Purchased by: Public Symptoms: Inappropriate schedule of drug administration, No adverse event SMQs: Write-up: None
VAERS ID: 335298 (history)   Vaccinated: 2008-10-27 Age: 22.0   Onset: 2008-10-27, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-09, Days after onset: 43 Location: Massachusetts   Entered: 2008-12-15, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: Hx. near syncope with phlebotomy; Lyme disease 2005 Diagnostic Lab Data: See above LABS: Chemistry WNL. Lyme''s test neg. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0548X 0 IM LA
Administered by: Other     Purchased by: Private Symptoms: Blood creatine phosphokinase increased, Blood pressure decreased, Borrelia burgdorferi serology negative, Carbon dioxide decreased, Confusional state, Coordination abnormal, Disturbance in attention, Eye swelling, Fatigue, Feeling hot, Full blood count normal, Heart rate decreased, Hyperhidrosis, Laboratory test normal, Malaise, Muscle twitching, Muscular weakness, Nausea, Pain in extremity, Pallor, Presyncope, Staring, Tremor SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Myocardial infarction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: Near syncope at time of injection. Then noted nausea and muscle twitches in (R) arm and chest the following day. 5 days later, still weak and tremulous. Also, c/o decreased concentration/attention in class. Exam WNL. CK 66. Lyme titer, negative. Negative CBC, Chem seven, normal, except low CO2; TSA, normal. 1/5/09 Reviewed PCP medical records. FINAL DX: none provided. Records reveal patient experienced with HPV#1 on 10/27/2008: pale, diaphoretic, BP 70/30, P56 post injection. Within 10 min, color improved, BP98/70, P64. Malaise, feverish, muscle twitches & had sore arm next day. By 11/3/08 felt uncoordinated, confused, staring, fatigue, weak legs, muscle tremors, pale, puffy eyes.
VAERS ID: 335337 (history)   Vaccinated: 2008-11-26 Age: 13.0   Onset: 2008-11-27, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-15, Days after onset: 18 Location: California   Entered: 2008-12-15	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) UNKNOWN MANUFACTURER   0 UN RA HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN LA
Administered by: Private     Purchased by: Private Symptoms: Abdominal pain upper, Anorexia, Arthralgia, Asthenia, Chest pain, Pyrexia SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad) Write-up: fever, weakness, joint pain, chest and stomach pain, loss of appetite
VAERS ID: 335340 (history)   Vaccinated: 2008-09-15 Age: 23.0   Onset: 2008-11-10, Days after vaccination: 56 Gender: Female   Submitted: 2008-12-15, Days after onset: 35 Location: New Jersey   Entered: 2008-12-15	Life Threatening? Yes Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: NONE~ ()~~0~In Sibling|NONE~ ()~~0~In Patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE PMH: family hx: lung cancer, brain tumor. Diagnostic Lab Data: Lynphnode biopsy consistent with primary mediastinal large b-cell lymphoma. Pet scan, Ct scans also done localising the disease to neck and chest LABS: WBC 12.7(H), neutros 79.8%(H). ESR 39(H). Alk phos 105(H). Blood c/s neg. CXR abn CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0947XX 1 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Abdominal pain, Biopsy bone marrow normal, Biopsy lymph gland abnormal, Blood alkaline phosphatase increased, Blood culture negative, CSF test normal, Chemotherapy, Chest X-ray abnormal, Computerised tomogram abnormal, Diarrhoea, Echocardiogram abnormal, Lumbar puncture, Lymphadenopathy, Mediastinal mass, Mitral valve prolapse, Neutrophil percentage increased, Pericardial effusion, Positron emission tomogram normal, Primary mediastinal large B-cell lymphoma, Red blood cell sedimentation rate increased, Surgery, White blood cell count increased SMQs:, Liver related investigations, signs and symptoms (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Biliary system related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Malignant tumours (narrow), Malignant lymphomas (narrow) Write-up: Patient recieved 2 doses of gardasil, july 15th 2008 and sept 15th 2008. She was diagnosed with non-hodgkins lymphoma on 11-20-08. She had lymphadenopathy in the neck and anterior mediastinum. She is currently undergoing chemotherapy. I read articles about recepients of HPV vaccine developing lymphadenopathy. 1/23/09 Reviewed hospital medical records of 11/17-11/20/2008; 12/4-12/5; and 12/12-12/15/2008; same day stays on 12/10 & 12/17. FINAL DX: primary mediastinal large B-cell lymphoma, Murphy stage III. Records reveal patient experienced left supraclavicular lymphadenopathy x 10 days beginning 11/7 along w/intermittent diarrhea & abdominal pain x 1 mo. Surgery & cardio consult done. Returned to hospital 12/4 to have port placed for chemotherapy & diagnostic LP & also intrathecal methotrexate & steroids. Returned to hospital for chemo & f/u CT scan 12/10. Returned to hospital 12/12-15 for chemo. Returned to hospital 12/17 for LP w/intrathecal chemotherapy.
VAERS ID: 335342 (history)   Vaccinated: 2008-12-10 Age: 15.0   Onset: 2008-12-11, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-15, Days after onset: 4 Location: New York   Entered: 2008-12-15	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: none Current Illness: none Preexisting Conditions: allergy to penicillin and cephalosporin antibiotics 1/29/09-records received-PMH:asthma, allergies to Amoxicillin and Cefzil. Diagnostic Lab Data: CT scan head normal, EEG abnormal. 1/29/09-records received-CT head negative. EKG NSR. Labs WNL. EEG diffusely abnormal with irritative features compatible with a seizure disorder. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1311X 2 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2841BA 0 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Blood test normal, Computerised tomogram normal, Disorientation, Dizziness, Electrocardiogram normal, Electroencephalogram abnormal, Gaze palsy, Grand mal convulsion SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow) Write-up: On 12/10/08, pt was given gardasil dose #3 and menactra. on 12/11/08, while sitting in school, pt had a tonic-clonic seizure and was taken to hospital, admitted, observed 24 hours. CT scan and blood tests were normal. EEG abnormal. MRI and repeat EEG to be done. Patient has no history of seizure or syncope. 1/29/09-records received for DOS 12/11/08-presented to ED with questionable seizure, tonic-clonic seizure witnessed along with eyes rolling back. Unable to recall event and was disoriented to place and time. PE: slight dizziness.
VAERS ID: 335344 (history)   Vaccinated: 2008-12-15 Age: 26.0   Onset: 2008-12-15, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-15, Days after onset: 0 Location: Texas   Entered: 2008-12-15	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Metoprolol 200mg bid, Lisinopril/HCTZ 20mg-2 inmorning, Ortho Tri-cyclen Lo Current Illness: None Preexisting Conditions: Hypertension Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0947X 1 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Loss of consciousness, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad) Write-up: Pt experienced syncope. Upon recovering Pt''s blood pressure was 92/62 pulse 64. Pt was out approxiamately 1-2 seconds.
VAERS ID: 335362 (history)   Vaccinated: 2008-08-19 Age: 16.0   Onset: 2008-12-07, Days after vaccination: 110 Gender: Female   Submitted: 2008-12-14, Days after onset: 7 Location: Washington   Entered: 2008-12-15, Days after submission: 1	Life Threatening? Yes Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Amoxicillin allergy. PMH: allergy to amoxil Diagnostic Lab Data: Labs and Diagnostics: Pelvic sono-no amniotic fluid. WBCs 10.4. UA with 4+ blood, 2+ leuk est, 10-20 WBC, $g100 RBC, few bacteria. UC (+). CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0570X CTC 0 UN LA
Administered by: Private     Purchased by: Public Symptoms: Bacteria urine, Blood urine present, Culture urine positive, Drug exposure during pregnancy, Foetal disorder, Oligohydramnios, Premature rupture of membranes, Red blood cells urine positive, Ultrasound pelvis, Ultrasound scan abnormal, Urine analysis abnormal, Urine leukocyte esterase positive, Vaginal haemorrhage, White blood cell count increased, White blood cells urine positive SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (narrow), Neuroleptic malignant syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Chronic kidney disease (broad) Write-up: Patient likely conceived with pregnancy day of vaccine administration. Her pregnancy has been complicated by oligohydramnios at early as 16 weeks, and eminent concern for loss of pregnancy. 1/16/2009 ER record received for 12/7/08 with DX: Vaginal bleeding at 18 wks pregnant, anhydramnios, mid trimester ROM, 2 vessel umbilical cord, possible TGA in fetus. Prognosis poor. Pt presented with large amount of vaginal bleeding.
VAERS ID: 335403 (history)   Vaccinated: 2008-12-01 Age: 17.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-16 Location: Missouri   Entered: 2008-12-16	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB257AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 0 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2670AA 0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR C2998BA 0 IM RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1186X 1 SC LA
Administered by: Public     Purchased by: Unknown Symptoms: Drug exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Write-up: Client received vaccines on 12-1-08 and found out on 12-11-08 she is pregnant.
VAERS ID: 335410 (history)   Vaccinated: 2008-01-28 Age: 17.0   Onset: 2008-11-24, Days after vaccination: 301 Gender: Female   Submitted: 2008-12-16, Days after onset: 22 Location: Georga   Entered: 2008-12-16	Life Threatening? Yes Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: Ultrasounds, chest xrays, ct and pet scans showed tumor growth. CBC out of normal range for months. 4/29/09-records received. WBC 30.1, lymph % 12.6, neut % 77. Biopsy of lymph node partial involvement Hodgkin lymphoma nodular sclerosis t CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1060U 0 IM RA
Administered by: Unknown     Purchased by: Unknown Symptoms: Asthenia, Axillary mass, Biopsy lymph gland, Chest X-ray abnormal, Computerised tomogram abnormal, Cyst, Full blood count abnormal, Hodgkin's disease, Lymphocyte percentage decreased, Menstruation irregular, Neutrophil percentage decreased, Neutrophil percentage increased, Positron emission tomogram abnormal, Pruritus generalised, Red blood cell sedimentation rate increased, Ultrasound scan abnormal, White blood cell count increased SMQs:, Anaphylactic reaction (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Malignant tumours (narrow), Fertility disorders (broad), Hypersensitivity (broad), Malignant lymphomas (narrow) Write-up: Patient received last of 3 Gardasil vaccinations. Approximately 2 months later was diagnosed with Hodgkins Lymphoma. Symptoms became evident just after the third vaccination. 3/9/09-records received-office visit 1/22/09-C/O tired SOB, Irregular menses which is secondary to chemo. Monitor labs if not better 3-6 mos. 4/29/09-records received-office visit 1/23/08 for C/O possible brachial cleft cyst or neck mass. Past 2 weeks swelling in left axilla. Decreased energy and generalized pruritus.
VAERS ID: 335442 (history)   Vaccinated: 2008-12-09 Age: 11.0   Onset: 2008-12-10, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-10, Days after onset: 0 Location: Texas   Entered: 2008-12-16, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: dealt step Preexisting Conditions: ADD Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2742AA 0 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1758U 0 IM LA
Administered by: Private     Purchased by: Public Symptoms: Dizziness, Eye pruritus, Fatigue, Malaise, Nausea, Somnolence SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad) Write-up: Patient complain of dizziness, eye itchy, nauseated, doesn''t feel well, fatigue and sleeping more.
VAERS ID: 335461 (history)   Vaccinated: 2008-09-24 Age: 11.0   Onset: 2008-09-24, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-10, Days after onset: 77 Location: Arizona   Entered: 2008-12-16, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0570X 0 UN LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2683AA 0 UN RA TDAP: TDAP (BOOSTRIX) GLAXOSMITHKLINE BIOLOGICALS C2998BA   UN LA
Administered by: Private     Purchased by: Private Symptoms: Convulsion, Immediate post-injection reaction SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow) Write-up: Within 1 minute of administering 3 immunizations listed above, pt began having seizure. o2 was administered and vitals monitored. Seizure was approx. 5-10 secs. She was observed for more than 30 mins until she was able to leave office safely.
VAERS ID: 335484 (history)   Vaccinated: 2008-09-10 Age: 29.0   Onset: 2008-09-10, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-16, Days after onset: 97 Location: Massachusetts   Entered: 2008-12-17, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: REPLIVA 21/7, tab; FLONASE Current Illness: Pregnancy NOS (LMP = 2/24/2008); Anaemia; Seasonal allergy; Asthma; Antiallergic therapy Preexisting Conditions: Diagnostic Lab Data: Ultrasound, 07/14/08, normal survey; Beta-human chorionic, positive; Apgar score, 9/9 CDC 'Split Type': WAES0809USA01813
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0573X 0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Apgar score normal, Drug exposure during pregnancy, Foetal disorder, Pregnancy test positive, Ultrasound scan normal SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Initial and follow-up information has been received for the pregnancy registry for GARDASIL from a nurse, a physician and a 29 year old female with a history of anemia, asthma and seasonal allergies, who on 10-SEP-2008 was vaccinated with the first dose of GARDASIL (lot # 0573X) 0.5 mL, IM into her deltoid, when she was six and a half months pregnant. Concomitant medication included REPLIVA and FLONASE. The nurse and the physician reported that the patient has an estimated delivery date of 01-DEC-2008. The patient''s condition was not determined to be life threatening, or resulting in significant disability/incapacity, not related to a congenital anomaly, not related to an overdose, not related to cancer, and there was no need for intervention to prevent serious criteria. The patient sought unspecified medical attention. On an unspecified date, there was a pregnancy test performed resulting positive. On 14-JUL-2008, a routine ultrasound test was performed resulting in a normal survey. Follow-up information was received from a physician who reported that the patient delivered a normal baby on 26-NOV-2008. The baby was male and weighed 9 pounds 5.9 ounces, and the APGAR score was 9/9. The infant was born with a congenital small ear tag in his left ear. There were no other complications or abnormalities. The physician reported that during the pregnancy the patient had a normal level II ultrasound/fetal survey at 20 weeks. The patient had no complications during the pregnancy and labor/delivery. There were no infections or illnesses during pregnancy. The patient''s medications used during this pregnancy included REPLIVA 1 tablet daily since 11-SEP-2008 for anaemia, and FLONASE daily since preconception. Additional information has been requested.
VAERS ID: 335488 (history)   Vaccinated: 0000-00-00 Age: 25.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-16 Location: Unknown   Entered: 2008-12-17, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: ADVAIR; hormonal contraceptives Current Illness: Pregnancy NOS (LMP = 7/25/2008); Drug hypersensitivity Preexisting Conditions: Neoplasm; Blood transfusion; Rhinoplasty; Sinus disorder; Tumour excision Diagnostic Lab Data: ultrasound, baby has club foot CDC 'Split Type': WAES0812USA01813
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Endometriosis, Foetal disorder, Ovarian cyst, Surgery, Ultrasound scan abnormal SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow) Write-up: Information has been received from a 25 year old female patient with polytrim eye drops allergy and a history of a tumor taken out of her chest and blood transfusion at age 4, and nose surgery because of a sinus problem in 2005, who received all 3 doses of GARDASIL. In 2007 (last year) was vaccinated with the first dose of GARDASIL (Lot # not reported). On approximately 15-MAY-2008 (mid May 2008), was vaccinated with the third dose of GARDASIL (Lot # not reported). Concomitant therapy included ADVAIR and "birth control". Around July 2008, the patient got pregnant. The patient is feeling fine, however the ultrasound discovered that the baby has a club foot. The patient also mentioned that before receiving the third dose she had a surgery because endometriosis, and had an ovarian cyst drained. The patient sought unspecified medical attention. Normal laboratory tests and first trimester screen were performed (results not provided). Last menstrual period was approximately on 25-JUL-2008 and estimated delivery date is on 01-May-2009. Upon internal review club foot was determined to a congenital anomaly. Additional information has been requested.
VAERS ID: 335489 (history)   Vaccinated: 2008-06-01 Age: 20.0   Onset: 2008-07-25, Days after vaccination: 54 Gender: Female   Submitted: 2008-12-16, Days after onset: 144 Location: Unknown   Entered: 2008-12-17, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Pregnancy NOS (LMP = 7/25/2008) Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA02338
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Abortion spontaneous, Drug exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow) Write-up: Information has been received from a licensed practical nurse concerning a 20 year old female patient who in June 2008, was vaccinated with the first dose of GARDASI, lot # was not reported. It was reported that the patient became pregnant with twins and had a miscarriage about one week ago. Patient was hospitalized. LMP was 25-JUL-2008. Additional information has been requested.
VAERS ID: 335511 (history)   Vaccinated: 2008-12-12 Age: 16.0   Onset: 2008-12-14, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-17, Days after onset: 3 Location: Oregon   Entered: 2008-12-17	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Citalopram 40 mg Trazadone 100 mg,Necon 0.5/35, Albuterol inhaler Current Illness: None Preexisting Conditions: Concerta, milk Mushrooms Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1311X 2 IM RA
Administered by: Unknown     Purchased by: Public Symptoms: Injection site erythema, Injection site swelling SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: 48 hours after administration of Vaccine the injection site became very red and swollen. With in a few minutes the redness radiated down her arm near her wrist.
VAERS ID: 335520 (history)   Vaccinated: 2007-12-05 Age: 14.0   Onset: 2008-02-05, Days after vaccination: 62 Gender: Female   Submitted: 2008-12-17, Days after onset: 316 Location: Missouri   Entered: 2008-12-17	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: none~ ()~~0.00~Patient|none~ ()~~0.00~Sibling|none~ ()~~0.00~Sibling Other Medications: Current Illness: Was not ill at time of GARDASIL started having nose bleeds, headaches, and fatigue by the meningitis vaccine in July. Preexisting Conditions: none PMH: constipation HPV#2 Lot # 1267U, given 3/21/08 IM/LA HPV#3 Lot # 1740U, given 6/9/08 IM/LA Diagnostic Lab Data: pancreatitis,labs - pnemonia, x-ray- cyst,ultrasound- upper and lower scope,gastrointestinal- central line for TPN and Lipids LABS: CT scan suggested RLL pneumonia & bilateral ovarian cysts. CBC, chemistry & UA WNL. KUB revealed ileus. US revealed prominent left ovarian cyst & smaller right ovarian cyst. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0012U 0 IM LA
Administered by: Other     Purchased by: Other Symptoms: Allodynia, Computerised tomogram abnormal, Condition aggravated, Diarrhoea, Disability, Dizziness, Drug interaction, Endoscopy, Epistaxis, Eructation, Fatigue, Flank pain, Full blood count normal, Galactorrhoea, Gastrointestinal disorder, Headache, Hyperlipasaemia, Hyperprolactinaemia, Hypersensitivity, Ileus, Laparoscopy, Metabolic function test normal, Nausea, Ovarian cyst, Pain, Pancreatitis, Parenteral nutrition, Pneumonia, Retching, Ultrasound scan abnormal, Urinary system X-ray, Urine analysis normal, Vomiting, X-ray abnormal SMQs:, Acute pancreatitis (narrow), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Gastrointestinal obstruction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (narrow) Write-up: nose bleeds, headaches sudden onset after first shot continued after second and third shot third shot 6/9/08 fatigue, end of July received meningits vaccine sept started pain, cyst on ovaries,then nausea,vomiting,pancreatitis,gastrointestinal disorders,dizziness,pnenmonia,lactating,hypersensitivity,8 weeks in hospital still sick 1/27/09 Link with 338052. 2/2/09 Received hospital & clinic medical records for 9/18-12/10/2008. FINAL DX: Pancreatitis Records reveal patient seen in ER 9/18 for RLQ flank/abdominal pain with nausea, fever & cough x 2 days. Improved w/meds & d/c to home. Returned w/severe pain. Hospital admit 9/20-9/22/2008. FINAL DX: right flank pain, resolving; pneumonia, resolving. Records reveal RLQ flank/abdominal pain improved. d/c to home on continued oral antibiotics for pneumonia & w/GYN f/u. OB/GYN records of 10/7 & 10/8 & Operative report of 9/24/2008. FINAL DX: RLQ pain w/bilateral ovarian cysts Patient had laparoscopic aspiration of ovarian cysts as same day surgery. Had continued post op RLQ abdominal pain. US was WNL. referred to PCP for additional GI w/u. Returned to ER 10/23/2008 W/persistent RLQ pain. Labs all WNL & d/c to home. Returned to ER 12/10/2008 w/nausea, vomiting, dry heaves x 1 day, diarrhea x 2 weeks. Had recently been d/c from higher level of care w/dx pancreatitis & was on TPN. Found to have ileus. Tx w/meds & d/c to home. 2/17/09 Received hospital medical records of 11/21-12/3/2008. FINAL DX:allodynia w/abdominal wall pain improving; hyperlipasemia, etiology uncertain; galactorrhea & hyperprolactinemia secondary to Lexapro; marked disability in association w/chronic pain; intermittent, frequent belching/retching related to disability & chronic pain. Records reveal patient experienced RLQ pain. Had been transferred from outlying hospital where she had been admitted 10/15/08 & extensive medical record review of that hospitalization included. Endocrine, pain mgt, psych consult done & meds adjusted. Tx w/TPN. Improved & d/c to home w/continued TPN, pain meds, PT, psych counseling & serial labs.
VAERS ID: 335521 (history)   Vaccinated: 2008-11-13 Age: 23.0   Onset: 2008-11-29, Days after vaccination: 16 Gender: Female   Submitted: 2008-12-17, Days after onset: 18 Location: Ohio   Entered: 2008-12-17	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Sprintec Current Illness: None Preexisting Conditions: Codeine- reaction is rash Diagnostic Lab Data: WBC on 12/13 was 12.5 but on 12/16 (day of admission) was 7.0. All other labs are within normal limits. CT of arm on 12/13 was within normal limits but MRI with and without contrast of arm on 12/16 indicated: 1. EVIDENCE OF A FAIRLY DIFFUS CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0843X 2 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Cellulitis, Chills, Computerised tomogram normal, Fasciitis, Fatigue, Hypophagia, Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site warmth, Laboratory test normal, Lethargy, Myositis, Nuclear magnetic resonance imaging abnormal, Pyrexia, White blood cell count increased SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad) Write-up: Patient received vaccine and initially had soreness at the injection site for about 2 weeks. On 11/29 she noticed redness and warmth in addition to pain in the area. This initally improved without any treatment. Symptoms began to worsen again (redness, pain, warmth in the deltoid area of the arm) and she was seen at an urgent care facility on 12/9 and was given Keflex 250mg TID. Symptoms continued to worsen. She presented to the Emergency Department on 12/13/08 and was given a 1 gram dose of Vancomycin IV and was ultimately discharged home on Keflex 500mg QID and Bactrim DS - 1 tab BID. Patient reports initial improvement after the antibiotic change but then symptoms again worsened and she returned to the ED on 12/16/08 and was admitted to the hospital for IV antibiotics with worsening erythema and pain. She is currently on vancomycin IV and Clindamycin IV was added today because symptoms are not significantly improving. There is no abcess associated with the cellululitis. Patient is still in the hospital- anticipated discharge date unknown. 2/2/09-records received for DOS 12/16-12/19/08 DC DX:Myositis/fascitis.Presented to ER with 6 week history of LUE cellulitis at which time received 3rd gardasil injection in left arm. After injection noticed army sore 1 week later with red ring around injeciton site and treated with oral antibiotics. LUE pain worsing and redness spreading, decreased ROM, fever feeeling lethergic/fatigued. Presented with chills decreased oral intake.
VAERS ID: 335546 (history)   Vaccinated: 2008-12-13 Age: 12.0   Onset: 2008-12-13, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-13, Days after onset: 0 Location: California   Entered: 2008-12-17, Days after submission: 4	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2833AA   UN RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0575X   UN LA TDAP: TDAP (BOOSTRIX) GLAXOSMITHKLINE BIOLOGICALS AL52B029AA   UN RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 0790X   UN UN
Administered by: Private     Purchased by: Other Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Pt. had dizziness and nausea after vaccination. Had pallor and diaphoresis. Vital stable. CNS exam. WNL. Referred to ER for eval.
VAERS ID: 335557 (history)   Vaccinated: 2007-05-04 Age: 16.0   Onset: 2007-05-04, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-17, Days after onset: 593 Location: Maryland   Entered: 2008-12-18, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: YASMIN; Vitamins (unspecified) Current Illness: Penicillin allergy Preexisting Conditions: Erythema multiforme PMH: Had been on Yasmin until 10/1/08 for dysmenorrhea. HA, dizziness, intermittent neck & back pain x 7 yrs. Polyposis of paranasal sinuses w/sinus surgery & repair of deviated septum. Bilateral CTS, intermittent numbness hands, itching. Irregular menses, herpetic rash on face age 6 yr, trauma right eye, migraine HA. Umbilical hernia repair. Sinus surg Diagnostic Lab Data: Unknown LABS: MRI abnormal & c/w optic neuritis. CSF test WNL. CDC 'Split Type': WAES0812USA02328
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (NO BRAND NAME) UNKNOWN MANUFACTURER   0 UN UN HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Amnesia, Back pain, Blindness unilateral, CSF test normal, Condition aggravated, Cranial nerve disorder, Diplopia, Dizziness, Epistaxis, Eye pain, Fall, Fatigue, Halo vision, Headache, Hypoaesthesia, Lumbar puncture, Malaise, Micturition urgency, Mood altered, Nausea, Nuclear magnetic resonance imaging brain abnormal, Ophthalmological examination abnormal, Optic neuritis, Pain in extremity, Paraesthesia, Phonophobia, Photophobia, Pollakiuria, Tunnel vision, Urinary incontinence, Vision blurred, Weight increased SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (narrow), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Ocular infections (broad), Ocular motility disorders (broad) Write-up: Information has been received from a patient''s mother concerning her 17 year old daughter with penicillin allergy and a history of erythematous multiforme (about 10 years ago) who was vaccinated with the first dose of GARDASIL on 04-MAY-2007, she received the second dose of GARDASIL on 06-JUL-2007 and then received the third dose of GARDASIL on 06-NOV-2008. Vaccinations also received on 04-MAY-2007 included a first dose of Hep A (manufacturer unknown) and a second dose of Hep A (manufacturer unknown) on 06-NOV-2007. Concomitant therapy included YASMIN and vitamins (unspecified). It was reported that the patient started complaining of extreme back pain that went from the head down to the spine in May-2008 and then on 22-SEP-2008 the patient started to have vision loss in her one eye, which eye was unspecified. The patient was then admitted to the hospital on 06-OCT-2008 because of the vision problem, she could not control her bladder, very moody, tired, extreme head and back pain. At the hospital she had spinal test done. MRI of her brain and spine, and numerous blood work was done. The patient was diagnosed with optic neuritis and is totally blind in the one eye, and was then sent home from the hospital on 11-OCT-2008. It was reported that the patient still was having problems with the back pain, she also had short term memory loss, she falls a lot, and had tingling and numbing of the hands and feet. It was noted that the patient still had most of the symptoms and they were trying to rule out multiple sclerosis. The patient''s mother reported that lot # that she had was 655165/1425F, but she was unsure what dose that lot # was for. At the time of the report the patient had not recovered. Additional information has been requested. 1/06/09 Received hospital medical records of 12/16-12/17/2008. FINAL DX: blurred vision left eye, not optic neuritis; optic neuritis right eye. Records reveal patient seen for loss of vision in right eye beginning 9/08 & tunnel vision left eye beginning 12/16/08. Did not feel well
VAERS ID: 335558 (history)   Vaccinated: 2008-07-07 Age: 15.0   Onset: 2008-10-10, Days after vaccination: 95 Gender: Female   Submitted: 2008-12-17, Days after onset: 68 Location: Maryland   Entered: 2008-12-18, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Motor vehicle accident; Head injury PMH: headaches, food allergies(carrots, anaphylaxis), bronchitis, pneumonia, tonsillitis. Using contraception. Prior head injuries: 2003, MVA; 2005 sports injury; 2007 struck beam. RAD, migraines, ear tube insertion, adenoidectomy. Diagnostic Lab Data: computed axial, ?/?/03, normal; electroencephalography, 10/??/08, bilateral seizure activity LABS: CBC,chemistry & UA WNL. TSH 6.93(H). Urine drug screen neg. CT head revealed chronic sinusitis. EEG abnormal. CDC 'Split Type': WAES0812USA02806
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Blood thyroid stimulating hormone increased, Computerised tomogram abnormal, Condition aggravated, Drug screen negative, Electroencephalogram abnormal, Epilepsy, Full blood count normal, Grand mal convulsion, Headache, Hypothyroidism, Laboratory test normal, Loss of consciousness, Migraine, Postictal state, Sinusitis, Tongue biting, Urine analysis normal, Vomiting SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypothyroidism (narrow), Hyperthyroidism (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow) Write-up: Information has been received from a registered nurse concerning a 15 year old female patient with a history of motor vehicle accident in 2003 (CT scan at that time was normal) and minor head injuries due to sports that required stitches who on 03-MAR-2008 was vaccinated with the first dose of GARDASIL (0.5 ml, intramuscularly, lot # 660387/1967U), and on 07-JUL-2008 the second dose of GARDASIL (0.5 ml, intramuscularly, lot # 660553/0070X). On 10-OCT-2008 the patient experienced a petit mal seizure and on 18-OCT-2008 had a second seizure. The nurse stated that each seizure lasted 2 to 3 minutes and it took 30 minutes post seizure for the patient to fully recover. Patient was seen in Emergency Room after the 2nd seizure because she bit her tongue which required treatment. The 3rd GARDASIL dose was delayed pending neurologist''s decision. EEG showed bilateral seizure activity. Patient is now taking TOPAMAX. Upon internal review, petit mal seizure, and seizure were determined to be other important medical events. Additional information has been requested. 12/29/08 Received ER medical records for 10/11/2008. FINAL DX: new onset seizures & hypothyroidism. Records reveal patient experienced HA followed by LOC & parent witnessed generalized seizure lasting approx 2-3 min followed by postictal period of approx 15-20 min. Had 1 prior seizure on 10/10/08 & seen by PCP. Referred to neuro. No further seizure activity while in ER & d/c to home. 2/26/09 Received Neuro consut of 10/16/2008. FINAL DX: solitary seizure & migraines Records reveal patient experienced witnessed seizure activity w/tongue biting & postictal period & preceeded by emesis. Tx w/meds & referred for EEG. No further records available. 3/3/09 Received Neuro consult of 10/22/2008. FINAL DX: Epilepsy Records reveal patient had 2 generalized tonic-clonic events c/w epilepsy but unable to determine if partial onset or primary generlized. Was to continue meds & obtain copy of MRI & EEG done at outlying hospital for review. No further r
VAERS ID: 335576 (history)   Vaccinated: 2008-08-11 Age: 17.0   Onset: 2008-08-11, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 123 Location: Florida   Entered: 2008-12-18, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0389U 1 IM RA
Administered by: Other     Purchased by: Public Symptoms: Body temperature increased, Nausea, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Reported 4 month after #2 GARDASIL. Temp. 101. Nausea and fainting episode.
VAERS ID: 335577 (history)   Vaccinated: 2008-12-10 Age: 15.0   Onset: 2008-12-10, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-10, Days after onset: 0 Location: Hawaii   Entered: 2008-12-18, Days after submission: 8	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Mild cold symptoms, cough, runny nose Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type': HI0809
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2806AA 0 IM RA HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHA4B246AA 0 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1208F 0 IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2538AA 0 IM LA TDAP: TDAP (BOOSTRIX) GLAXOSMITHKLINE BIOLOGICALS AC52B020AA 1 IM LA
Administered by: Public     Purchased by: Public Symptoms: Dyskinesia SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Noninfectious encephalopathy/delirium (broad) Write-up: Client closed eyes, looked like she was going to faint and then she had two jerky movements. She then opened her eyes and asked what happened. Jerky movements lasted three seconds. Involved head and upper body.
VAERS ID: 335632 (history)   Vaccinated: 2008-10-07 Age: 22.0   Onset: 2008-10-08, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-18, Days after onset: 71 Location: New York   Entered: 2008-12-18	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Flu like symptoms~HPV (Gardasil)~1~23~In Patient Other Medications: Lexapro 10 mg Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: Negative/N/A CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN LA
Administered by: Private     Purchased by: Unknown Symptoms: Asthenia, Diarrhoea, Headache, Influenza like illness, Pain in extremity SMQs:, Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow) Write-up: Mild Headache, Pain in entire left arm (not at injection site), general weakness, mild diarrhea, mild flu like symptoms. Symptoms began the day after the injection and lasted for 4-7 days.
VAERS ID: 335697 (history)   Vaccinated: 2008-11-01 Age: 17.0   Onset: 2008-11-01, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-18, Days after onset: 47 Location: Wisconsin   Entered: 2008-12-19, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Convulsion disorder Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA03210
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Condition aggravated, Convulsion SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow) Write-up: Information has been received from a physician concerning a 16 year old female patient with a history of seizure disorders who in approximately 15-NOV-2008 "about a month ago", was vaccinated with a second 0.5ml dose of GARDASIL. The physician reported that the patient experienced a seizure after receiving the vaccine. The patient sought unspecific medical attention. The patient recovered within a few minutes. Upon internal review seizure disorders were considered as an other important medical event. Additional information has been requested.
VAERS ID: 335769 (history)   Vaccinated: 2008-12-15 Age: 41.0   Onset: 2008-12-16, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-19, Days after onset: 3 Location: Texas   Entered: 2008-12-19	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: No Preexisting Conditions: PMH: uterine fibroids, DDD, insomnia, painful intercourse, anxiety/depression, migraine HA, irritability, elective abortion, . Allergy: pollen. Diagnostic Lab Data: LABS: CBC, chemistry, PAP smear all WNL. HPV test neg. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 0
Administered by: Unknown     Purchased by: Unknown Symptoms: Asthma, Full blood count normal, Human papilloma virus test negative, Laboratory test normal, Nausea, Smear cervix normal SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad) Write-up: Asthma, Nausea. 1/20/09 Reviewed GYN medical records of 12/15/08. FINAL DX:none provided. Normal GYN exam. Records reveal patient experienced asthma like symptoms reported by phone.
VAERS ID: 335777 (history)   Vaccinated: 2008-11-21 Age: 24.0   Onset: 2008-11-21, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-19, Days after onset: 28 Location: Florida   Entered: 2008-12-19	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Aspirin allergy. Diagnostic Lab Data: N/A CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1522U 0 IM LA TDAP: TDAP (ADACEL) SANOFI PASTEUR C3027AA 0 IM RA
Administered by: Public     Purchased by: Public Symptoms: Asthenia, Cold sweat, Dizziness, Injection site erythema, Injection site pruritus, Pallor SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Gardasil administered to left deltoid IM. Client complained of feeling dizzy approx. 15 - 25 seconds later. Slight paleness to skin and hands clammy. 2nd nurse called to assist. Feet were propped up, cold compresses applied, client stated approx 5 - 7 minutes later that she was feeling better. Client left office on own accord, with mother, after approx. 10 minutes of observation. When client presented to another clinic in health department she refused 2nd Gardasil shot with complaints of feeling weak for 2 days post vaccine. Further stated that injection site was itching and red.
VAERS ID: 335795 (history)   Vaccinated: 2008-11-11 Age: 12.0   Onset: 2008-11-12, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-12, Days after onset: 30 Location: Ohio   Entered: 2008-12-19, Days after submission: 7	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Concomitant Drug(s) Not Reported Current Illness: Preexisting Conditions: Psychosocial issues in school PMH: eczema, constipation, head trauma 1 yr ago, fall, umbilical hernia repair. Family hx: SLE & mental health issues. Diagnostic Lab Data: LABS: CBC, CRP, CK, CMP all WNL. CDC 'Split Type': MEDI0007625
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500553P   IN   HPV4: HPV (GARDASIL) MERCK & CO. INC. 0523U 2 UN UN
Administered by: Private     Purchased by: Other Symptoms: Activities of daily living impaired, Arthralgia, Asthenia, Blood creatine phosphokinase normal, C-reactive protein normal, Chest pain, Conversion disorder, Facial paresis, Full blood count normal, Gait disturbance, Headache, Hypoaesthesia, Metabolic function test normal, Mood altered, Oropharyngeal pain, Pain in extremity, Pharyngitis, Physiotherapy, Viral infection, Weight decreased SMQs:, Agranulocytosis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Depression (excl suicide and self injury) (broad) Write-up: A serious, spontaneous report of conversion disorder reaction, facial muscles have not moved and numbness in toes and fingers was received from a consumer concerning a 12 year old female subsequent to FLUMIST. The patient has a history of psychosocial issues. The patient received GARDASIL the same day as FLUMIST. The patient received FLUMIST intranasal for Flu vaccination on 11-Nov-2008. On 11-Nov-2008 the patient was seen in the pediatricians office for chest pains and during the visit received FLUMIST and GARDASIL. Since 24 hours after administration the patients facial muscles have not moved and she has numbness in her toes and fingers. The patient subsequently was seen by a neurologist, cardiologist and the pediatrician for the events and an MRI was taken. Results are not available. The events are on going and the patient is scheduled to begin physical therapy. The responsible physician assessed the events as not related to vaccine administration and instead considered the event a conversion disorder reaction. The event is considered a serious important medical event. 1/2/09 Received PCP, ER & Neuro medical records of 11/24-12/3/08 FINAL DX: none provided; possible conversion reaction Records reveal patient experienced HA, weakness, difficulty walking, pain in all extremities x approx 3 wks. Missed several days of school. Had been seen in Urgent care 11/24 & 11/27 for sore throat, HA & body aches. W/u WNL. Dx w/viral illness & pharyngitis. Flat affect, weight loss. Required follow-up attempts have been performed, requested information unable to be obtained.
VAERS ID: 335798 (history)   Vaccinated: 2008-12-05 Age: 21.0   Onset: 2008-12-16, Days after vaccination: 11 Gender: Female   Submitted: 2008-12-17, Days after onset: 1 Location: Pennsylvania   Entered: 2008-12-19, Days after submission: 2	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: OCP; Folic acid; Vit C Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 2 IM LA
Administered by: Private     Purchased by: Private Symptoms: Myalgia SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad) Write-up: (L) arm muscle soreness for 1 week duration.
VAERS ID: 335799 (history)   Vaccinated: 2008-07-17 Age: 27.0   Onset: 2008-07-18, Days after vaccination: 1 Gender: Female   Submitted: 2008-08-19, Days after onset: 32 Location: Florida   Entered: 2008-12-19, Days after submission: 122	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Loestrin birth control; Multivitamin Current Illness: Preexisting Conditions: Splenectomy from ITP Diagnostic Lab Data: Blood work run. Very high enzymes (3 of 4) LABS: PAP smear of 7/17/08 HPV(+). Repeat PAP 11/26/08 LSIL. Vaginal c/s 1/26/09 (+) Gardnerella vaginalis & HPV. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0279X   UN UN
Administered by: Private     Purchased by: Private Symptoms: Abdominal distension, Blood culture, Body temperature increased, Cervical dysplasia, Colposcopy, Culture positive, Enzyme abnormality, Headache, Human papilloma virus test positive, Inappropriate schedule of drug administration, Papilloma viral infection, Smear cervix abnormal, Vaginal discharge, Vaginitis gardnerella, Viral infection SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Reproductive premalignant disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Uterine and fallopian tube malignant tumours (broad) Write-up: Headache about 24hrs later, no pain killers helped. Temperature about 48hrs later. Both got worse. Went to Dr 6 days later. Said viral must fight off. Continued a full 2 wks after vaccination. Then a wk of severe stomach bloating. 3/9/09 Received PCP medical recods of 07/17/08-1/26/2009. FINAL DX: Low grade squamous intraepithelial lesion, HPV infection Records reveal patient experienced good health on 7/17/08. RTC 11/10/08 & 11/26/08 w/vaginal discharge. Colposcopy done 1/12/09. RTC 1/26/09 & tx w/meds.
VAERS ID: 335801 (history)   Vaccinated: 2008-12-19 Age: 21.0   Onset: 2008-12-19, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-19, Days after onset: 0 Location: Maryland   Entered: 2008-12-19	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0947X 1 IM LA
Administered by: Private     Purchased by: Other Symptoms: Excoriation, Fall, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: 2nd dose of GARDASIL administered on 12/19/08. Pt experienced syncope, fell to the floor, experienced abrasion on (L) side of face. After 30 mins. pt "felt better",given water for hydration. Driven home by mother
VAERS ID: 335807 (history)   Vaccinated: 2008-11-21 Age: 27.0   Onset: 2008-12-15, Days after vaccination: 24 Gender: Female   Submitted: 2008-12-19, Days after onset: 4 Location: Illinois   Entered: 2008-12-19	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: LIPITOR, 40mg; CLOBETASOL, 0.05 Current Illness: Preexisting Conditions: KNA or medical conditions Diagnostic Lab Data: Neurology exam, negative per patient CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0737U 1 IM LA
Administered by: Other     Purchased by: Private Symptoms: Laboratory test, Neurological examination normal, Pain in extremity SMQs: Write-up: Her whole arm hurts. Hurts most on her deltoid and travels down her arm. Has seen MD to get labs done and neurology exam.
VAERS ID: 335844 (history)   Vaccinated: 2008-11-01 Age: 24.0   Onset: 2008-11-01, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-19, Days after onset: 48 Location: Unknown   Entered: 2008-12-22, Days after submission: 3	Life Threatening? Yes Died? No Permanent Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA03375
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Coma, Endotracheal intubation, Guillain-Barre syndrome, Hypoaesthesia, Paraesthesia SMQs:, Angioedema (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow) Write-up: Information has been received from Company representative who was told by a friend of the patient''s family. The patient was a 24 year old female patient who was vaccinated in approximately November-2008 with the third dose of GARDASIL. Concomitant therapy included influenza virus vaccine (unspecified). In approximately November-2008, the patient reported tingling in her fingers and toes shortly after the vaccinations. It got worse over night and she went to the Hospital the next day. The hospital did test for persistent numbness and the patient was sent home. The patient''s mother found her crawling on the floor a few days later and she was taken by ambulance to the hospital where she was admitted, intubated and in coma. The patient was diagnosed with Guillain-Barre. As of 16-DEC-2008, the patient was still in coma. Guillain-Barre syndrome and coma were considered to be immediately life-threatening and disabling and other important medical event. No further information is available.
VAERS ID: 335852 (history)   Vaccinated: 2008-11-26 Age: 15.0   Onset: 2008-11-26, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-22, Days after onset: 26 Location: New Mexico   Entered: 2008-12-22	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Allergra; Advair; Singulair Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CT head, CBC, CMP, T4, TSH CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500552P 0 IN   HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB222AA 1 UN LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0570X 2 UN LA
Administered by: Private     Purchased by: Unknown Symptoms: Blood thyroid stimulating hormone, Computerised tomogram, Dizziness, Full blood count, Headache, Hypoaesthesia, Metabolic function test, Paraesthesia, Thyroxine, Vision blurred SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad) Write-up: Headache, occasional blurring vision, tingling numbness, dizziness.
VAERS ID: 335864 (history)   Vaccinated: 2008-09-18 Age: 16.0   Onset: 2008-09-22, Days after vaccination: 4 Gender: Female   Submitted: 2008-12-16, Days after onset: 85 Location: North Carolina   Entered: 2008-12-22, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: PMH: asthma. Family hx: stroke, PD, migraines, HTN. Diagnostic Lab Data: CDC 'Split Type': NC09004
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1740U 0 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2582AA 0 IM RA
Administered by: Public     Purchased by: Unknown Symptoms: Abdominal pain, Asthenia, Diarrhoea, Fatigue, Flushing, Gait disturbance, Headache, Hyperhidrosis, Hypersensitivity, Nausea, Neurological examination normal, Vomiting SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow) Write-up: Four days after vaccine administration, Pt became unable to walk. Was evaluated by neurologist who advised pt to never again take the GARDASIL vaccine. 3/13/09 Received Neuro medical records of 9/24/08. FINAL DX:generalized weakness, fatigue, N/V s/p HPV vaccine Records reveal patient experienced weakness. States patient developed weakness, N/V/D, fatigue, HA, abdominal pain, flushing, diaphoresis within 2 days of HPV #1. Seen in ER & referred to Neuro. Examination WNL & referred back to PCP. 3/16/09 Received ER medical records of 9/24/2008. FINAL DX: medication reaction; r/o GBS Records reveal patient experienced weakness, N/V/D, difficulty walking.
VAERS ID: 335869 (history)   Vaccinated: 2008-09-29 Age: 25.0   Onset: 2008-09-30, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-18, Days after onset: 79 Location: Connecticut   Entered: 2008-12-22, Days after submission: 4	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Oral contractive; Benadryl PRN Current Illness: Preexisting Conditions: "Soy" Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 00114 0 IM UN
Administered by: Other     Purchased by: Public Symptoms: Urticaria SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow) Write-up: Client returned to office for #2 GARDASIL states ''after last shot broke out in Hives''.
VAERS ID: 335916 (history)   Vaccinated: 2008-07-07 Age: 15.0   Onset: 2008-09-30, Days after vaccination: 85 Gender: Female   Submitted: 2008-12-22, Days after onset: 83 Location: Ohio   Entered: 2008-12-22	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: ADVAIR Current Illness: None Preexisting Conditions: asthma Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0063X 1 IM UN
Administered by: Private     Purchased by: Private Symptoms: Alopecia SMQs: Write-up: Hair loss/thining at 2 mos after administration of 2nd GARDASIL shot on 7/7/08
VAERS ID: 335919 (history)   Vaccinated: 2008-12-22 Age: 13.0   Onset: 2008-12-22, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-22, Days after onset: 0 Location: Utah   Entered: 2008-12-22	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   3 UN UN
Administered by: Private     Purchased by: Unknown Symptoms: Immediate post-injection reaction, Migraine SMQs:, Hypersensitivity (narrow) Write-up: Migraine immediately after GARDASIL injection
VAERS ID: 335946 (history)   Vaccinated: 2008-12-11 Age: 18.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-18 Location: Idaho   Entered: 2008-12-23, Days after submission: 5	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0279X 1 SC RA
Administered by: Private     Purchased by: Other Symptoms: Hypersensitivity, Vomiting SMQs:, Acute pancreatitis (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow) Write-up: Had episode of emesis and hypersensitivity after vaccine. Resolved with breathing in paper bag.
VAERS ID: 335951 (history)   Vaccinated: 2008-12-16 Age: 14.0   Onset: 2008-12-16, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-17, Days after onset: 1 Location: Pennsylvania   Entered: 2008-12-23, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: DIFFERIN GEL; BENZODIAZEPINE Current Illness: None Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB320AA 0 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0570X 0 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2823AA 0 IM RA
Administered by: Private     Purchased by: Private Symptoms: Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: After 10 minutes - stood up in hallway - collapsed - to floor - got up with help - assisted back to room - gave O2 2 - took vitals every 5 minutes - gave water - after 20 minutes - could walk without help - referred to ER. Was taken by mother.
VAERS ID: 335960 (history)   Vaccinated: 2008-12-10 Age: 25.0   Onset: 2008-12-10, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-16, Days after onset: 6 Location: Virginia   Entered: 2008-12-23, Days after submission: 7	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: LESSINA Current Illness: None Preexisting Conditions: Reports allergy to Sulfanamides Diagnostic Lab Data: O2 Sat 97 CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 1 IM RA
Administered by: Private     Purchased by: Private Symptoms: No reaction on previous exposure to drug, Oxygen saturation normal, Pallor, Rash erythematous, Rash macular SMQs:, Anaphylactic reaction (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: Approximately ten minutes following administration of GARDASIL #2, patient experienced erythematous blanchable macules on both arms. Denied SOB, nausea, itching and/or pain. No reaction following GARDASIL #1. Rash began to resolve with no treatment except BENADRYL, 25 mg.
VAERS ID: 336031 (history)   Vaccinated: 2008-12-22 Age: 11.0   Onset: 2008-12-22, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-23, Days after onset: 1 Location: California   Entered: 2008-12-23	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: NKDA Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUVIRIN) NOVARTIS VACCINES AND DIAGNOSTICS 89985 0 IM LA HEP: HEP B (RECOMBIVAX HB) MERCK & CO. INC. 1884U 2 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0279X 0 IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2617AA 0 IM LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1143X 1 SC LA
Administered by: Public     Purchased by: Unknown Symptoms: Inappropriate schedule of drug administration, Pallor SMQs:, Hypotonic-hyporesponsive episode (broad) Write-up: Client received vaccines listed below-Advised to remain seated while paper work was being filled in and signed. I noticed patient sliding down in her chair she became very pale. I assisted her to sit up in the chair advised her to lower her head and she did-I applied ice pack advising her to take slow deep breaths which she did client agreed to lie down. Take to clinic area per co-worker where checked by physician.
VAERS ID: 336047 (history)   Vaccinated: 2008-12-10 Age: 24.0   Onset: 2008-12-10, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-19, Days after onset: 9 Location: New York   Entered: 2008-12-24, Days after submission: 5	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: NKDA Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2803AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR 0650X 0 IM RA
Administered by: Private     Purchased by: Unknown Symptoms: Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Patient fainted after receiving vaccines
VAERS ID: 336049 (history)   Vaccinated: 2008-01-31 Age: 16.0   Onset: 2008-02-03, Days after vaccination: 3 Gender: Female   Submitted: 2008-12-22, Days after onset: 323 Location: Tennessee   Entered: 2008-12-24, Days after submission: 2	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Oral Contraception Current Illness: None Preexisting Conditions: Allergic Antihistamines septra PMH: BCP. allergic: sulfa. 37 wk preemie w/NICU x 1 week. Diagnostic Lab Data: Per non blood work was done - reports are not available CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB215AA 0 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 14466 0 IM LA
Administered by: Public     Purchased by: Unknown Symptoms: Asthenia, Blood test, Cellulitis, Chills, Decreased appetite, Ear pain, Erythema multiforme, Malaise, Nausea, Otitis externa, Pseudomonas infection, Rash erythematous, Rash generalised, Rash papular, Rash pruritic, Weight decreased SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow) Write-up: On 10-02-2008 the patients mother was in the health department for services and reported that patient became very ill 3 days after getting vaccine here 1/2008. She began with rash and itching on 1 leg that spread in patches all over her body. She did not have a fever. She chilled, had nausea , and was unable to eat. she had no energy. Over the course of her illness (3mo) she lost 20lbs. Shortly after onset of illness, she saw a doctor and was sent to a Dermatologist. According to the patients mother diagnosis was pseudomonas. After 3 months the patient began to have relief from symptoms and is now feeling recovered. Any treatment/ Medications is unknown to me. 12/31/08 Reviewed PCP medical records of 4/08. FINAL DX: erythema multiforme Records reveal patient experienced papular red itchy rash all over x 1 week, decreased appetite, fever & chills x 2 days. Seen in ER on 4/12 & dx w/cellulitis. Tx w/antibiotics. PCP dx w/EM & tx w/steroids. RTC 4/29 w/o improvement, now w/left ear pain & 9# wt loss. Dx w/otitis externa, treated w/ear drops & referred to Derm. No other records available.
VAERS ID: 336077 (history)   Vaccinated: 2008-09-02 Age: 13.0   Onset: 2008-09-03, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-26, Days after onset: 114 Location: Massachusetts   Entered: 2008-12-26	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 17524 2 UN LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 0537X 1 UN RA
Administered by: Private     Purchased by: Private Symptoms: Injection site pruritus, Injection site swelling SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Pt pruented in office 2 days post VARIVAX vaccine with swelling and itching around injection site, starting 1 day prior.
VAERS ID: 336089 (history)   Vaccinated: 2008-12-22 Age: 16.0   Onset: 2008-12-23, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-27, Days after onset: 4 Location: Alabama   Entered: 2008-12-27	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: headache, pain in arm~HPV (Gardasil)~2~16.00~Patient Other Medications: Current Illness: Bladder infection and yeast infection Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 1 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Activities of daily living impaired, Burning sensation, Candidiasis, Chlamydial infection, Dizziness, Fatigue, Headache, Injection site pain, Muscle spasms, Trichomoniasis, Urinary tract infection, Vaginal infection SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Vestibular disorders (broad) Write-up: Severe dizziness and unable to function. Severe headache. Fatigue and pain in arm at injection site. Burning on the front of the forehead. This is her second injection. 1/14/09 Reviewed GYN medical records of 12/22/2008. FINAL DX: candida vaginitis; uti; (+) Chlamydia & trichomonas 10/08, resolved. Records reveal patient tx for UTI on day of vaccination. Parent stated previously via voicemail message that patient not seen by PCP or ER for treatment & has fully recovered from HA following HPV vaccination of 12/22/08. Has back spasms couple of times/wk only & treats w/OTC meds.
VAERS ID: 336102 (history)   Vaccinated: 2008-12-01 Age: 14.0   Onset: 2008-12-02, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-24, Days after onset: 22 Location: Michigan   Entered: 2008-12-26, Days after submission: 2	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Concerta, Benzaclin Current Illness: None Preexisting Conditions: Acne, ADHD Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEP: HEP B (ENGERIX-B) GLAXOSMITHKLINE BIOLOGICALS AHBVB436AA   IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0575X   IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2568AA   IM RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1154X   SC RA
Administered by: Private     Purchased by: Private Symptoms: Local reaction SMQs: Write-up: Local injection reaction - treatment ice, NSAIDS
VAERS ID: 336121 (history)   Vaccinated: 2008-09-11 Age: 12.0   Onset: 2008-09-11, Days after vaccination: 0 Gender: Female   Submitted: 2008-09-25, Days after onset: 14 Location: Massachusetts   Entered: 2008-12-10, Days after submission: 76	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: FLONASE Current Illness: Preexisting Conditions: Chronic rhinitis; allergies to AMOXIL, AUGMENTIN, CEFZIL, Dust mites and cats. Diagnostic Lab Data: None CDC 'Split Type': 200802949
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0843X   IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2636A 0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Feeling of body temperature change, Flushing, Headache, Hypoaesthesia facial, Paraesthesia, Paraesthesia oral, Skin warm SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad) Write-up: Initial report was received 18 September 2008 from a health care professional. A 12-year-old female patient had received a left deltoid intramuscular injection of MENACTRA, lot number U2636AA and a first dose right deltoid intramuscular injection of GARDASIL, lot number 0843X (Merck) on 11 September 2008, and on the evening of vaccination, she developed numbness in her face. By the following morning, the numbness had worsened and she complained of a prickly feeling in her cheeks and around her lips, and her face felt hot and cold. According to the mother of the patient, when the mother touched the patient''s face, her hand felt cold. The patient''s face also appeared pink and puffy. By the afternoon, her lips became tingly. The patient''s mother called their health care provider to report the symptoms and stated the patient complained that her head was hurting (onset time and date not reported). The patient had not experienced any fever and no other symptoms occurred. The patient received corrective treatment with BENADRYL. By the following morning (date not reported), all symptoms had resolved. The patient had also received an injection of ADACEL (lot number not reported) within four weeks prior to receipt of MENACTRA and GARDASIL. No further information was provided.
VAERS ID: 336130 (history)   Vaccinated: 2008-12-11 Age: 17.0   Onset: 2008-12-11, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-15, Days after onset: 4 Location: Oregon   Entered: 2008-12-29, Days after submission: 14	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Tacrolimus; Mycophenolate; Prednisone Current Illness: Nasal/Sinus congestion; general ache; sore throat; fever; chronic HA Preexisting Conditions: Kidney transplant 2004. PMH: Renal translants x 2, on immunosupressives. Chronic h/a. Diagnostic Lab Data: Respiratory viral panel; CBC; Vacts; Blood culture; CXR. Labs and Diagnostics: Creatinine 1.13. UC (+) for 10K mixed flora. CMV PCR, EBV PCR (-). CDC 'Split Type': OR200849
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS UB259AA 1 IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0381X 1 IM RA MMR: MEASLES + MUMPS + RUBELLA (MMR II) MERCK & CO. INC. 0890X 1 SC LA
Administered by: Public     Purchased by: Public Symptoms: Blood creatinine normal, Blood culture, Chest X-ray, Chest pain, Condition aggravated, Culture urine, Culture urine positive, Cytomegalovirus test negative, Dehydration, Epstein-Barr virus test negative, Full blood count, Headache, Immunisation reaction, Immunosuppression, Malaise, Myalgia, Oropharyngeal pain, Polymerase chain reaction, Pyrexia, Respiratory tract infection viral, Viral test SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad) Write-up: Admit ER 12/11/08 with fever, chest pain transfer to hospital, infectious disease consent, tested for viruses. Discharge diagnosis likely acute viral respiratory tract disease. 12/29/08 VAERS report submitted with medical records attached. Pt received 3 vax on 12/11/08. Had been feeling poorly at time of vax, but felt progressively worse afterward with headache, myalgias, fever and sore throat. Dehydrated on admission. Tx with IVF. Sx likely due to vaccine side effect and/or virus. DX: Fever. Immunosupression.
VAERS ID: 336145 (history)   Vaccinated: 2008-03-28 Age: 24.0   Onset: 2008-06-09, Days after vaccination: 73 Gender: Female   Submitted: 2008-12-22, Days after onset: 196 Location: Unknown   Entered: 2008-12-29, Days after submission: 7	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: No known drug allergy. Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 3446U   IM UN
Administered by: Unknown     Purchased by: Unknown Symptoms: Hyperaesthesia, Oedema peripheral, Tenderness SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Pt received her second GARDASIL vaccine in June on her left arm. Patient states that her arm is stills swollen and feel very tender. She is sensitive to touch.
VAERS ID: 336146 (history)   Vaccinated: 2008-12-13 Age: 14.0   Onset: 2008-12-13, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-21, Days after onset: 8 Location: Unknown   Entered: 2008-12-29, Days after submission: 8	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.
Administered by: Unknown     Purchased by: Unknown Symptoms: Convulsion, Disorientation, Fatigue, Headache, Immediate post-injection reaction, Sensation of heaviness, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow) Write-up: Patient was given the GARDASIL shot at county health dept. She had two other shots done in her right arm, before the GARDASIL shot was given on the left side. Patient immediately fainted. When the nurse and I got her back up onto the table, she seized for about 30-60 seconds. It scared the nurse and I both. When she finally "came to" she was extremely disoriented. She said that her legs felt really "heavy" and that her head hurt. It took her about 30 minutes to be able to just stand up. She was then really tired and exhausted all day the rest of that day. This really scared both of us. She really doesn''t want to take the next 2 series of the shots because she is scared to death the same thing will happen again. Frankly, so am I. Is this going to be a possibility? Or do we not take the shots now? Please let us know as we are both really concerned.
VAERS ID: 336152 (history)   Vaccinated: 2008-12-19 Age: 13.0   Onset: 2008-12-20, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-22, Days after onset: 2 Location: New Hampshire   Entered: 2008-12-29, Days after submission: 7	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Healthy Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500584P 3 IN   HPV4: HPV (GARDASIL) MERCK & CO. INC. 0063X 2 IM RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1012X 1 SC LA
Administered by: Private     Purchased by: Public Symptoms: Erythema, Oedema peripheral, Pruritus SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad) Write-up: Within 24 hrs arm itchy and red-swollen-size of tennis ball. 2nd day redness and swelling doubled in size. 3rd day still red and swollen size - 15X16 cm at office.
VAERS ID: 336153 (history)   Vaccinated: 2008-12-23 Age: 15.0   Onset: 2008-12-23, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-23, Days after onset: 0 Location: New York   Entered: 2008-12-29, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: SERTRALINE 150mg po Current Illness: None Preexisting Conditions: Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR UF456CA 0 IM LA
Administered by: Private     Purchased by: Other Symptoms: Dizziness, Vision blurred SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad) Write-up: Pt reported dizziness, blurry vision 15 min after injection. Pt laying down X 15 min. Pt stated "feeling better".
VAERS ID: 336154 (history)   Vaccinated: 2008-11-07 Age: 22.0   Onset: 2008-11-07, Days after vaccination: 0 Gender: Female   Submitted: 2008-11-10, Days after onset: 3 Location: New Jersey   Entered: 2008-12-29, Days after submission: 49	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: ORTHOTRICYCLINE Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0548X 2 IM RA
Administered by: Military     Purchased by: Military Symptoms: Erythema, Lip swelling, Pruritus, Swollen tongue, Urticaria SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow) Write-up: Approx. 20 minutes following the vaccination, pt began experiencing hives across both shoulders and neck. Hives were red and "itchy." Pt began experiencing swelling of the tongue and eventually of the lips as well. Treatment was administered by ER.
VAERS ID: 336157 (history)   Vaccinated: 2008-12-09 Age: 16.0   Onset: 2008-12-09, Days after vaccination: 0 Gender: Female   Submitted: 0000-00-00 Location: Florida   Entered: 2008-12-29	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB319AA 0 UN RA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 2 UN LA
Administered by: Private     Purchased by: Unknown Symptoms: Dizziness, Hypoaesthesia, Nausea, Syncope, Tremor SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Dizziness and nausea. Numbness of arms, legs and head, shaking, fainting.
VAERS ID: 336161 (history)   Vaccinated: 2008-09-11 Age: 14.0   Onset: 2008-09-18, Days after vaccination: 7 Gender: Female   Submitted: 2008-12-24, Days after onset: 97 Location: Connecticut   Entered: 2008-12-29, Days after submission: 5	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Allergic Rhinitis, LKDA Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0572X 1 IM LA
Administered by: Private     Purchased by: Private Symptoms: Body temperature increased, Condition aggravated, Dizziness, Rhinitis allergic SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (narrow) Write-up: Intermittent dizziness and elevated temps (98.9-99.9) starting one week after injection and lasting one week. Simultaneously experienced exacerbation of allergic rhinitis.
VAERS ID: 336164 (history)   Vaccinated: 2008-12-17 Age: 16.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-17 Location: Maryland   Entered: 2008-12-29, Days after submission: 12	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: Urine HCG CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLUN: INFLUENZA (SEASONAL) (FLUMIST) MEDIMMUNE VACCINES, INC. 500558P   IN   HPV4: HPV (GARDASIL) MERCK & CO. INC. 1740U   UN UN MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2818AA   UN UN
Administered by: Unknown     Purchased by: Unknown Symptoms: Drug exposure during pregnancy, Urine human chorionic gonadotropin positive SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Patient given FLUMIST and GARDASIL and subsequently noted urine HCG was positive.
VAERS ID: 336198 (history)   Vaccinated: 2008-12-22 Age: 15.0   Onset: 2008-12-22, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-29, Days after onset: 7 Location: Texas   Entered: 2008-12-29	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: NONE Preexisting Conditions: NONE Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1978U 2 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2816AA 1 IM RA
Administered by: Public     Purchased by: Public Symptoms: Immediate post-injection reaction, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: Client fainted immediately post vaccine administration and regained consciousness within moments. Her last meal was breakfast & vaccine administration occured in the mid PM. Mother called me today (12/29/08)reporting the client ate upon returning home the day of vaccine administration, slept the rest of the day, and had no further problems. Mother verbalizes the client had never experienced this problem post vaccine administration in the past.
VAERS ID: 336205 (history)   Vaccinated: 2008-12-29 Age: 14.0   Onset: 2008-12-29, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-29, Days after onset: 0 Location: Ohio   Entered: 2008-12-29	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Fainting~HPV (Gardasil)~1~14~In Patient Other Medications: N/A Current Illness: N/A Preexisting Conditions: N/A Diagnostic Lab Data: N/A CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0546X 2 IM RA
Administered by: Public     Purchased by: Private Symptoms: Fall, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Patient received an injection while in the supine position. Following 12 minutes lying down, patient sat up for about 5 minutes on the exam table. Public Health Nurses then went on to assist her to a chair and allowed her to sit for an additional 5 minutes. The patient then fainted and fell off the chair. The entire time the patient never complained of feeling faint, she had little warning it was going to happen. After the patient fainted, nurses assisted her to a supine position and kept her that way for about a half hour when she felt much better. Patient was only out for about 30 seconds. She came back to and an ice pack was placed behind the patients neck. She was pale throughout the course until she started felling better at which time she began to get her pink color back. She was assisted to the car by wheelchair and transported home per parent.
VAERS ID: 336226 (history)   Vaccinated: 2007-11-28 Age: 20.0   Onset: 2008-08-12, Days after vaccination: 258 Gender: Female   Submitted: 2008-12-29, Days after onset: 139 Location: Texas   Entered: 2008-12-29	Life Threatening? No Died? No Permanent Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: YAZ Current Illness: NONE Preexisting Conditions: Allergy to Penicillin PMH: oral contraception, TB 2005, ex-smoker, social drinker. Allergy: PCN, morphine. Family hx: high cholesterol; depression; Cushings syndrome. Diagnostic Lab Data: ANA Panel results were higher then normal. I had a blood test for acetylcholine receptor antibodies. Normal is .05 and below. My results were 64.o. 5/13/09 hospital records received DOS 11/25/08 to 11/27/08. LABS and DIAGNOSTICS: CT lack of sulci small ventricles otherwise WNL. LP hazy, cell count 795 mm3 (H), neutrophils 76%, Gram stain (-) other than WBCs, protein 70 mg/dL (H). CBC WNL other than WBC 15000, Segs 90%. CHEM: sodium 132 mmol/L (L) otherwise WNL. 5/19/09 Received HSV titre (-) & MRI head (-). FARR DNA DS ab 21.6(H). ANA titer 1:320(+), speckled homogeneous. Abnormal PAP smear w/atypical squamous cells. WBC 28.6(H), segs 86%(H), lymphs 7%(L), ANC 25.7(H).CMP, hepatitis panel, CRP, RA factor, ASO all WNL. Acetylcholine bi CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1266U 2 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Amblyopia, Antiacetylcholine receptor antibody positive, Antinuclear antibody increased, Asthenia, Autoimmune disorder, Balance disorder, Blood product transfusion, Blood sodium decreased, C-reactive protein normal, CSF cell count increased, CSF culture negative, CSF neutrophil count increased, CSF protein increased, CSF test abnormal, Diplopia, Disturbance in attention, Dizziness, Double stranded DNA antibody, Dysarthria, Dyskinesia, Dyspepsia, Dysphagia, Dyspnoea exertional, Dysstasia, Eyelid ptosis, Facial palsy, Fatigue, Grip strength decreased, Headache, Herpes simplex serology negative, Jaw disorder, Lumbar puncture, Lymphocyte percentage decreased, Mastication disorder, Memory impairment, Meningitis viral, Musculoskeletal stiffness, Myasthenia gravis, Nausea, Neutrophil count increased, Neutrophil percentage increased, Nuclear magnetic resonance imaging brain normal, Pollakiuria, Rheumatoid factor negative, Rhinorrhoea, Scan brain, Sensation of heaviness, Smear cervix abnormal, Streptococcus identification test, Streptococcus identification test negative, Vomiting, White blood cell count increased SMQs:, Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Anticholinergic syndrome (broad), Dementia (broad), Dyskinesia (narrow), Dystonia (broad), Parkinson-like events (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hyponatraemia/SIADH (narrow), Optic nerve disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Periorbital and eyelid disorders (narrow), Ocular motility disorders (narrow), Chronic kidney disease (broad) Write-up: Diagnosed with Myasthenia Gravis (autoimmune disease) 5/13/09 hospital records received DOS 11/25/08 to 11/27/08. FINAL DIAGNOSIS: Myasthenia gravis, viral meningitis Post vaccination droopy left eyelid, difficulty running, weak grip, mouth and jaw fatigue, diplopia, dizziness. Admitted for IVIG treatment. Headache, increased ptosis, upper and lower extremity weakness. Nausea, vomiting 5/14/09 Received Neuro medical records of 11/24/2008. FINAL DX: myasthenia gravis Records reveal patient experienced weakness x 2 mo starting w/left eyelid droop, then mouth weakness, arm heaviness, grip strength decreased, leg stiffness, difficulty arising from sitting position, diplopia, intermittent left lazy eye, mouth/jaw fatigue, tiredness, slurred speech, DOE, heartburn, difficulty chewing & swallowing, loss of balance, loss of memory, urinary frequency esp at night. Sent to hospital for CT, IVIG x 2 days, steroids. 5/18/09 Received PCP medical records of 10/21/08-2/25/2009. Records reveal patient experienced fatigue, dizziness, blurred vision, gen weakness, difficulty concentrating & memory retention difficulties x approx 1 mo when seen 10/21. Referred to Rheum. No further visits until 2/25/09 s/p myasthenia gravis. 5/18/09 Received medical records from Rheum but was only labs of 11/19/2008.
VAERS ID: 336238 (history)   Vaccinated: 2008-04-08 Age: 25.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-29 Location: Unknown   Entered: 2008-12-30, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA04566
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1757U 0 IM LA
Administered by: Other     Purchased by: Other Symptoms: Breast cancer, Chemotherapy, Lymphadenectomy, Mastectomy, Radiotherapy SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Malignant tumours (narrow), Breast malignant tumours (narrow) Write-up: Information has been received from a Nurse practitioner concerning a 25 year old female patient who on 18-APR-2008 was vaccinated with the first dose of GARDASIL. After receiving the first dose of GARDASIL the patient was diagnosed with right breast cancer (2008). In November 2008, the patient had a right segmental mastectomy and lymph node dissection. As per the oncologist the breast cancer is not related to the GARDASIL. The patient was continuing on HERCEPTIN chemotherapy treatments until May 2009. She was also currently receiving radiation therapy. Upon internal review, breast cancer was considered to be an Other Important Medical Event. Additional information has been requested. 1/19/09 Reviewed PCP medical records of 11/14/2008. FINAL DX: right breast cancer, clinical stage T1C N0 M0; ER-positive, HER-2-positive; neoadjuvant chemotherapy; BRCA1 & 2 gene negative; right segmental mastectomy & sentinel lymph node biopsy 11/5/08.
VAERS ID: 336246 (history)   Vaccinated: 2008-02-27 Age: 22.0   Onset: 2008-02-27, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-26, Days after onset: 303 Location: Pennsylvania   Entered: 2008-12-30, Days after submission: 4	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Pregnancy NOS (LMP = 2/16/2008); Cardiac murmur; Smoker Preexisting Conditions: Hypothyroidism Diagnostic Lab Data: Ultrasound, 06/10/08, due date is 24-NOV-2008; ultrasound, 07/02/08, within normal limits; urine beta-human, 06/10/08, positive; Apgar score, 11/12/08, 8/9 CDC 'Split Type': WAES0807USA00806
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1448U 0 IM UN
Administered by: Public     Purchased by: Other Symptoms: Anaemia, Drug exposure during pregnancy, Foetal disorder, Gestational diabetes, Ultrasound scan normal, Urine human chorionic gonadotropin positive SMQs:, Haematopoietic erythropenia (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Information has been received from a licensed practical nurse (L.P.N) through the Merck pregnancy registry concerning a 22 year old female with cardiac murmur with a history of 2 pregnancies and 2 live births and a history of hypothyroidism who on 27-FEB-2008 was vaccinated with the first dose of GARDASIL (lot # 659653/1448U). Concomitant therapy included FLINTSTONES Multivitamin. The patient was pregnant. The reporter stated that the patient''s last menstrual period was 16-FEB-2008. The estimated conception date was 02-MAR-2008. The patient was in for first obstetrics (OB) visit on 10-JUN-2008 and urine pregnancy test was positive and ultrasound due date was 24-NOV-2008. On 02-JUL-2008 ultrasound was performed for size and dating. The result was within normal limits (MNL) and the estimated delivery date was 23-NOV-2008. No product quality complaint was involved. Follow-up information on 19-DEC-2008 was received from a licensed practical nurse (L.P.N) concerning a 23 year old patient who was a smoker, on 27-FEB-2008 at 1535 was vaccinated intramuscularly into left deltoid with the first dose of GARDASIL (lot # 659653/1448U). Ferrous sulfate, FLINTSTONES Multivitamin and omeprazole were used during pregnancy. On 12-NOV-2008, the patient delivered a female baby with congenital anomaly weighing 3103gm (weeks from LMP: 38). Length: 20 inch. Apgar score: 8/9. The baby had a cleft palate. There were no other complications or abnormalities. The complications during pregnancy included gestational diabetes and anemia. Ferrous sulfate was taken for the treatment of anemia. At the time of reporting, the outcomes for cleft palate, gestational diabetes and anemia were unknown. Additional information has been requested.
VAERS ID: 336247 (history)   Vaccinated: 2007-12-12 Age: 25.0   Onset: 2008-01-16, Days after vaccination: 35 Gender: Female   Submitted: 2008-12-26, Days after onset: 345 Location: New Jersey   Entered: 2008-12-30, Days after submission: 4	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: PREVACID Current Illness: Pregnancy NOS (LMP = 1/16/2008); Pollen allergy; Mycotic allergy Preexisting Conditions: Diagnostic Lab Data: Urine beta-human, positive CDC 'Split Type': WAES0802USA06370
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1267U 0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Information has been received from a registered nurse, for the Pregnancy Registry for GARDASIL, concerning a 25 year old female with environmental allergies to pollen and mold who on 12-DEC-2007 was vaccinated 0.5mL, IM with a 1st dose of GARDASIL (lot# 659439/1267U). Concomitant therapy included PREVACID. It was reported that the patient had a positive urine pregnancy test (LMP 16-JAN-2008). The patient sought unspecified medical attention in her doctor''s office. Follow-up information was received from the registered nurse to report that the patient went to another facility and had elective termination on 19-APR-2008. The patient''s outcome was unknown. Upon internal review, elective termination was determined to be an other important medical event. Additional information is not expected.
VAERS ID: 336283 (history)   Vaccinated: 2008-12-30 Age: 11.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-30 Location: Pennsylvania   Entered: 2008-12-30	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: NONE Current Illness: NONE Preexisting Conditions: NKDA,H/O HEART MURMUR AS INFANT Diagnostic Lab Data: SYNCOPAL EPISODE CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0570X 1 IM RA
Administered by: Private     Purchased by: Private Symptoms: Bradycardia, Dizziness, Fall, Pallor, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad) Write-up: ALERT INITIALLY. SOON C/O FEELING LIKE SHE WAS GOING TO PASS OUT (PHYSICIAN CAUGHT PATIENT AS SHE WAS FALLING FACE FIRST OFF EXAM TABLE). WAS PALE X 1 MIN, BRADYCARDIC X 2 MIN. PT WAS LAID ON EXAM TABLE WITH KNEES ELEVATED. COMPLETE SET OF VITALS OBTAINED BY PHYSICIAN AND THOROUGH EXAM PERFORMED WITH NEGATIVE OUTCOME. PT GIVEN POPSICLE AND WAS ABLE TO LEAVE IN 15 MINUTES.
VAERS ID: 336294 (history)   Vaccinated: 2008-12-12 Age: 17.0   Onset: 2008-12-20, Days after vaccination: 8 Gender: Female   Submitted: 2008-12-30, Days after onset: 10 Location: California   Entered: 2008-12-30	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Zovia, ranitidine, Trazodone Current Illness: abdominal pain Preexisting Conditions: Diagnostic Lab Data: varicella IgG neg. IgM pending. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) UNKNOWN MANUFACTURER     IM LA HEPA: HEP A (NO BRAND NAME) UNKNOWN MANUFACTURER   1 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 IM RA MEN: MENINGOCOCCAL (MENOMUNE) SANOFI PASTEUR   0 IM LA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC.   0 SC RA
Administered by: Private     Purchased by: Private Symptoms: Blister, Erythema, Rash papular, Rash pruritic, Skin lesion, Varicella zoster serology negative SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Hypersensitivity (narrow) Write-up: 10 days after Varivax pt developed generalized pruritic rash of clear vesicles and erythematous papules which progressed to open lesions. Treatment was symptomatic only w/ topical Calamine lotion, Aveeno baths, and oral Benadryl.
VAERS ID: 336303 (history)   Vaccinated: 2008-10-30 Age: 15.0   Onset: 2008-10-30, Days after vaccination: 0 Gender: Female   Submitted: 2008-10-30, Days after onset: 0 Location: California   Entered: 2008-12-30, Days after submission: 61	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: Asthma, mild Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (VAQTA) MERCK & CO. INC. 0495U 0 UN LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0525U 0 UN RA TDAP: TDAP (ADACEL) SANOFI PASTEUR C2888AA 0 UN RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1782U 1 UN LA
Administered by: Private     Purchased by: Public Symptoms: Unevaluable event SMQs: Write-up: None Stated
VAERS ID: 336327 (history)   Vaccinated: 2008-12-04 Age: 20.0   Onset: 2008-12-11, Days after vaccination: 7 Gender: Female   Submitted: 0000-00-00 Location: Unknown   Entered: 2008-12-31	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 06050X 0 IM UN
Administered by: Unknown     Purchased by: Unknown Symptoms: Injection site pain, Local reaction SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: Pt had onset of pain at (R) shoulder vaccination site @ 12/11 of PM -exam c/w localized reaction at lateral aspect of deltoid no sign of infection or isotonic reaction.
VAERS ID: 336335 (history)   Vaccinated: 2008-08-20 Age: 22.0   Onset: 2008-08-21, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-23, Days after onset: 124 Location: Wisconsin   Entered: 2008-12-31, Days after submission: 8	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: History of depression Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0834X 0 IM LA
Administered by: Private     Purchased by: Public Symptoms: Injected limb mobility decreased, Pain in extremity SMQs: Write-up: Patient had injection on 8/20/08. Patient called on 10/7/08 stating her arm still hurt with certain movements. Felt that her arm was "restricted". Stated ibuprofen was helping. Patient called 12/23/08 and says her arm much improved but not 100% yet.
VAERS ID: 336339 (history)   Vaccinated: 2008-12-31 Age: 14.0   Onset: 2008-12-31, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-31, Days after onset: 0 Location: New Jersey   Entered: 2008-12-31	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. O575X 0 IM RA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2735AA 0 IM LA TDAP: TDAP (ADACEL) SANOFI PASTEUR C26768BA 0 IM LA
Administered by: Public     Purchased by: Public Symptoms: Dizziness, Hypotension, Nausea, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Nausea, lightheadedness, hypotension, syncope
VAERS ID: 336340 (history)   Vaccinated: 2008-09-02 Age: 15.0   Onset: 2008-09-11, Days after vaccination: 9 Gender: Female   Submitted: 2008-12-31, Days after onset: 111 Location: Arizona   Entered: 2008-12-31	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Bactrim DS, Flonase 50mcg, Loratidine 10mg Current Illness: None Preexisting Conditions: Allergy to Amoxicillin- rash documented 5/01/2000 PMH:allergic conjunctivitis, allergic rhinitis. Diagnostic Lab Data: physical exam CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0279X 2 IM RA
Administered by: Unknown     Purchased by: Unknown Symptoms: Injected limb mobility decreased, Muscular weakness, Pain, Pain in extremity, Radiculitis brachial SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad) Write-up: Initial administration of the HPV vaccine on 9/2/08 was in the right deltoid and was administered without incident. On 9/11/08 the patient was seen in the express care clinic by Dr. At this time the patient had compaints of sharp and throbbing arm pain, as well as arm weakness (brachial neuritis). This pain is worse at night. The patient was given Ibuprofen 400mg #30 and Desipramine 25mg #20. Patient was to return to the clinic in 2 weeks for follow up. 2/19/09 Received PCP & ER medical records of FINAL DX: right arm brachial neuritis Records reveal patient experienced constant sharp throbbing pain right arm x 1 week w/decreased ROM when seen in ER on 9/11/08. Tx w/meds & referred to PT.
VAERS ID: 336352 (history)   Vaccinated: 2007-10-15 Age: 14.0   Onset: 2008-02-18, Days after vaccination: 126 Gender: Female   Submitted: 2008-12-31, Days after onset: 317 Location: Illinois   Entered: 2009-01-02, Days after submission: 2	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Vitamins (unspecified) Current Illness: Preexisting Conditions: Atypical squamous cells of undetermined significance Diagnostic Lab Data: Ultrasound, 07/14/08, with normal limits; Serum alpha-fetoprotein, 06/23/08, negative CDC 'Split Type': WAES0808USA02610
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0384U 1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Alpha 1 foetoprotein normal, Caesarean section, Drug exposure during pregnancy, Failed trial of labour, Pre-eclampsia, Threatened labour, Ultrasound scan normal SMQs:, Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (broad) Write-up: Information has been received from a certified medical assistant (C.M.A.), for the Pregnancy Registry for GARDASIL, concerning a 14 year old female with Ascus positive HR HPV, late care who on 14-AUG-2007 was vaccinated intramuscularly with the first 0.5 ml dose of GARDASIL (Lot #657617/0384U), on 15-OCT-2007 was vaccinated intramuscularly with the second 0.5 ml dose of GARDASIL (Lot #657617/0384U) and on 13-MAR-2008 was vaccinated intramuscularly with the third 0.5 ml dose of GARDASIL (Lot #758222/0927U). Concomitant therapy included prenatal vitamins (PVN). There was no concomitant medication. The patient was pregnant, and her last menstrual period was 18-FEB-2008 and the estimated delivery date will be on 17-NOV-2008 (previously reported as 24-NOV-2008). No adverse event was reported. Medical attention was sought via office visit. Follow up information was received which reported that on 02-NOV-2008, the patient delivered a normal and healthy male baby. The patient had complications, she had mild preclampsia and she was scheduled for induction on 31-OCT-2008. The patient underwent CERVIDIL and PITOCIN, the patient failed to dilate past 4 cm. The patient and partner elected for C/section. There was no infections or illness during pregnancy reported. During the pregnancy was used PROCARDIA, 10 mg, every four hours for threatened pre term labor. Upon internal review failed to dilate was considered an other important medical event because the patient required a C-section. Additional information has been requested.
VAERS ID: 336382 (history)   Vaccinated: 2009-01-02 Age: 15.0   Onset: 2009-01-02, Days after vaccination: 0 Gender: Female   Submitted: 2009-01-02, Days after onset: 0 Location: Illinois   Entered: 2009-01-02	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Taking Birth Contol Pills Current Illness: None Preexisting Conditions: NKA; anemia when younger Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0063X 0 IM LA
Administered by: Public     Purchased by: Public Symptoms: Dry skin, Dyskinesia, Erythema, Fall, Immediate post-injection reaction, Muscle twitching, Pain, Pallor, Skin warm SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Dystonia (broad), Noninfectious encephalopathy/delirium (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: Was in reception area immediately after injection of Gardasil and fell to floor and had full body twitching for 5 to 10 seconds. Was not observed falling. Mother had back to her while paying receptionist. No complete loss of consciousness noted. Has redness on right side of face and c/o of pain in right temple area. PERL. Pale. Skin warm and dry. Not involuntary of bodily functions. Full ROM and good grasp and answers commands appropriately. No prior Hx of medical conditions except anemia when younger. BP130/90. Pulse 88reg. Happened at 9:50am and ambulance arrived to take her to ER at 9:57am. Phone call from mother stating she was discharged to go home at 11:20am.
VAERS ID: 336390 (history)   Vaccinated: 2008-05-01 Age: 18.0   Onset: 2008-06-24, Days after vaccination: 54 Gender: Female   Submitted: 2009-01-02, Days after onset: 192 Location: California   Entered: 2009-01-02	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: none Preexisting Conditions: none PMH: frontal H/A. Low back pain x 1 yr. Diagnostic Lab Data: ekg, eeg, cat scan, mri, blood tests. Labs and Diagnostics: EKG WNL. EEG WNL. Normal imaging studies. Brain MRI WNL. CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB28 1 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1758U 0 IM LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Abasia, Amenorrhoea, Back pain, Blood test, Chills, Computerised tomogram, Dizziness, Ear pain, Electrocardiogram normal, Electroencephalogram normal, Headache, Immobile, Loss of consciousness, Malaise, Menstruation irregular, Migraine, Nausea, Nuclear magnetic resonance imaging brain normal, Pain in extremity, Paraesthesia, Photophobia, Presyncope, Syncope, Tremor SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Fertility disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad) Write-up: syncope or seizure still being determined,events started in june of 08, she has experienced over 100 syncope episodes since that time, a month or so after inoculation, co administered with Hep A, episodes began in june, again in august, september, weekly in november, december, has experienced immobility, nausea, irregular and missed periods, migraine like headaches, left ear pain, leg pain and tingling in hands and feet, lower back pain, to date she has been to the ER 7 times and had two hospital stays for issues of passing out from 3 minutes to over 30 minutes as she passes out repeatedly, no medical treatment other than rest up until this point, she is being admitted for further neurological understanding and a three day hospital evaluation. 2/4/09 Neurology consult received dated 12/22/08 for eval of episodic LOC. Pt initially began having lapses of consciousness in 6/2008 on vacation. Seen in ER and found to be dehydrated, possibly r/t alcohol consumption. Repeat attacks however were with good hydration status. 1 week after 1st episode pt was feeling ill and unable to walk/stand w/o having an episode. W/U (-). Pt may have weeks w/o episodes, but then begin with teeth chattering, then a "head rush", dizziness and the feeling of going to pass out. Holter monitor did not register any abnormalities during episodes. Episode in 8/2008, pt was unable to roused x 30 minutes. W/U (-). In 12/08 episode did not involve complete LOC but had bifrontal H/A with photophobia after. Some events involve hand shaking or whole body shaking. Pt to be admitted for further eval.D/C Summary received for DOS 1/5-8/2009 with D/C DX: Unexplained LOC. PE WNL. One mild event noted during admission with teeth chattering and tremulous movements of the upper extremities, L$gR. No LOC. No further events during admission.
VAERS ID: 336393 (history)   Vaccinated: 2008-12-30 Age: 17.0   Onset: 2008-12-31, Days after vaccination: 1 Gender: Female   Submitted: 2009-01-02, Days after onset: 2 Location: Washington   Entered: 2009-01-02	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0651X 2 IM LA
Administered by: Private     Purchased by: Unknown Symptoms: Erythema, Induration, Skin warm, Swelling, Tenderness SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad) Write-up: Marked local swelling, induration, erythema, warmth, and tenderness resulting in a physician office visit.
VAERS ID: 336436 (history)   Vaccinated: 2008-12-29 Age: 17.0   Onset: 2008-12-30, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-30, Days after onset: 0 Location: Arkansas   Entered: 2009-01-02, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 057SX 0 UN LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2637AA 0 SC RA TDAP: TDAP (ADACEL) SANOFI PASTEUR UF455AA 5 SC RA
Administered by: Private     Purchased by: Private Symptoms: Arthralgia, Influenza like illness, Pain, Pain in extremity SMQs: Write-up: Mom reports child with "severe" hip and joint pain. Complains of severe pain in legs, feels like she has the flu, mom feels this is more than an average reaction, achy all over 12/31/08 feeling a little better, mom did not want daughter to receive anymore HPV vaccines.
VAERS ID: 336457 (history)   Vaccinated: 2008-01-23 Age: 15.0   Onset: 2008-03-25, Days after vaccination: 62 Gender: Female   Submitted: 2009-01-05, Days after onset: 286 Location: Massachusetts   Entered: 2009-01-05	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None HPV #2 given 3/24/08, lot # 1446U, LA. Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0522U 0 ID LA
Administered by: Unknown     Purchased by: Unknown Symptoms: Discomfort, Dyspnoea, Urticaria SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow) Write-up: Extreme Hives, trouble breathing / problems have continued since first injection / she breaks out in hives when there is a change of temperature (outside to inside / inside to outside) / has trouble breathing when exerting (cross country runner / basketball player) / has continued with sports but pushes through discomfort / very frustrating 1/23/09 Received PCP medical records of 3/24/08 FINAL DX: hives Records reveal patient w/daily hives since 2/15/08. Referred to specialist & declined further in series. No further records available.
VAERS ID: 336473 (history)   Vaccinated: 2007-08-07 Age: 18.0   Onset: 2007-09-01, Days after vaccination: 25 Gender: Female   Submitted: 2008-12-23, Days after onset: 479 Location: Tennessee   Entered: 2009-01-05, Days after submission: 13	Life Threatening? Yes Died? Yes    Date died: 2009-03-23    Days after onset: 569 Permanent Disability? Yes Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: Iron-deficiency anemia Diagnostic Lab Data: muscle biopsy; MRI separate. Dx clinical myositis CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEPA: HEP A (VAQTA) MERCK & CO. INC. 0804F 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 0171U 0 IM LA MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) SANOFI PASTEUR U2207AA 0 IM RA TDAP: TDAP (ADACEL) SANOFI PASTEUR C2457AA 0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Activities of daily living impaired, Asthenia, Ataxia, Biopsy muscle, Budd-Chiari syndrome, Cardio-respiratory arrest, Death, Dermatomyositis, Dysphagia, Fatigue, Headache, Immunoglobulin therapy, Muscle atrophy, Muscular weakness, Myalgia, Neuropathy peripheral, Nuclear magnetic resonance imaging, Osteomalacia, Pain in extremity, Paraesthesia, Pernicious anaemia, Polymyositis, Tachycardia, Weight decreased SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Embolic and thrombotic events, venous (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Eosinophilic pneumonia (broad), Chronic kidney disease (broad) Write-up: Onset increased muscle pain, fatigue, weakness, dysphagia, weight loss. Pt requiring Prednisone IVIG every q monthly. Methotrexate headache, muscle atrophy. 2/6/09 Received PCP medical records of 11/11/08-1/20/09. FINAL DX: polymyositis, likely MCV4 vaccine related; osteomalacia; neuropathy; pernicious anemia; tachycardia; ataxia; Budd-Chiari syndrome; dermatomyositis. Records reveal patient experienced muscle weakness, paresthesias, leg pain. Referred to Neuro & Rheum. Tx w/PT & meds including methotrexate, imuran, steroids, enbrel, bicillin, IVGG. Had to drop out of college due to illness. 04/6/2010 Patient''s condition never improved and she died on 3/23/2009.
VAERS ID: 336474 (history)   Vaccinated: 2008-03-12 Age: 13.0   Onset: 2008-03-12, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-18, Days after onset: 281 Location: Ohio   Entered: 2009-01-05, Days after submission: 18	Life Threatening? No Died? No Permanent Disability? Yes Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Seasonal allergies; Patient was very healthy before this shot and the only conditions that she had or has is seasonal allergies. Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0
Administered by: Unknown     Purchased by: Unknown Symptoms: Anorexia, Arthralgia, Depression, Dizziness, Dry skin, Fatigue, Headache, Irritability, Menstrual disorder, Muscle spasms, Rash, Syncope, Vision blurred, Vomiting SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: After my daughter received her 1st shot of 3 (to complete full dose) she started having problems soon after.- light headed, dizziness, fainting, fatigue, loss of appetite, change in menstrual cycle, blurred vision, headaches, joint hip pain, irritability, depression, throwing up and bad cramps. FYI- we opted out of the last two shots. Took patient to regular Dr. appt. We were than told that she should get the HPV shot I was reluctant because I don''t have or never had cervical cancer and neither had my mother. They said she would need 3 series of shots all together. After the 1st shot (3/12/08) we started to notice all the symptoms that are describe on page 1. She was a tract runner for her school and very good at that. But after the shot anytime she would run she would throw up and cramp right after. Once she was able to make it half way when she was running 100 yard dash. 1/22/09 Received PCP clinic medical records of 3/12/08 FINAL DX: none provided Records reveal patient experienced rash on abdomen waxing & waning since 12/07. Only dry skin found on exam & tx w/lotion. No other records available. 02/01/2010 Still has side/hip pain whenever she over erats herself insports.
VAERS ID: 336496 (history)   Vaccinated: 2008-12-29 Age: 13.0   Onset: 2008-12-29, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-30, Days after onset: 1 Location: North Carolina   Entered: 2009-01-05, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: FLUOXITINE Current Illness: None Preexisting Conditions: Anxiety Disorder Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0570X 0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Drooling, Loss of consciousness, Posture abnormal SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad) Write-up: Immunization was administered in left arm. Patient then passed out & was laid down. Pt was drooling, then her legs & arms extended outward (straight) with contracted flexed fingers. Total episode last approx. 5-10 seconds. Patient was dizzy afterwards & could not recall the incident.
VAERS ID: 336497 (history)   Vaccinated: 2008-12-22 Age: 17.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-30 Location: North Carolina   Entered: 2009-01-05, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: None Preexisting Conditions: Unknown Diagnostic Lab Data: None CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HEP: HEP B (ENGERIX-B) GLAXOSMITHKLINE BIOLOGICALS AHAVB516BA 2 UN GM HPV4: HPV (GARDASIL) MERCK & CO. INC. 0072X 1 UN GM IPV: POLIO VIRUS, INACT. (IPOL) SANOFI PASTEUR A10602 4 UN RA MMR: MEASLES + MUMPS + RUBELLA (MMR II) MERCK & CO. INC. 1084X 2 SC LA
Administered by: Public     Purchased by: Public Symptoms: Wrong technique in drug usage process SMQs: Write-up: None. Hep B injection in gluteal region.
VAERS ID: 336525 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Unknown   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Unknown Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA00287
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Pigmentation disorder SMQs: Write-up: Information has been received from a consumer via an office concerning patient who was vaccinated with GARDASIL (route and site not reported). The consumer reported that the office had a "similar but not as serious case" of loss of pigmentation in the skin as his daughter had experienced. The office said it was caused by GARDASIL. The office also said it was not an allergic reaction. Attempts are being made to verify the existence of an identifiable patient and reporter. This is one of several reports received from the same source. Additional information has been requested.
VAERS ID: 336526 (history)   Vaccinated: 2008-10-31 Age: 20.0   Onset: 2008-10-31, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 42 Location: New Jersey   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Novolog; Levemir Current Illness: Diabetes; Hypothyroidism; Coeliac disease Preexisting Conditions: Diagnostic Lab Data: None CDC 'Split Type': WAES0812USA00025
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0548X 1 IM UN
Administered by: Private     Purchased by: Private Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site mass, Injection site pain SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: Information has been received from a medical assistant concerning a 20 year old female patient with diabetes and hypothyroidism who on 05-AUG-2008 was vaccinated with the first dose of GARDASIL, lot # 660620/0571X, 0.5 mL, intramuscularly; and on 31-OCT-2008 was vaccinated with the second dose of GARDASIL, lot # 661044/054f8X, 0.5 mL, intramuscularly. Concomitant therapy included insulin Novolog and insulin Levemir. It was reported that the patient on 31-OCT-2008 experienced pain and redness at the injection site of the left upper arm after receiving her second dose of HPV vaccine. The pain was increased and the area formed a large, firm lump surrounded by a red ring. The patient had difficulty lifting the left arm. Patient not recovered. She was scheduled for an office evaluation on 28-NOV-2008. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/12/2008. Follow-up information from her physician indicated that the patient was a female student (152 pounds, 67.5 inches) with diabetes, hypothyroidism and celiac disorder who reported redness, swelling and decrease of mobility in arm after being vaccinated. The patient was seen on 29-NOV-2008 with erythema (2 cm thick) at site of injection, mobility within normal limits. Therapy with nonsteroidal anti-inflammatory drug (unspecified) was prescribed. Patient recovered on 19-JAN-2009. Additional information is not expected.
VAERS ID: 336527 (history)   Vaccinated: 2008-11-25 Age: 44.0   Onset: 2008-11-25, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 17 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA00004
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0843X 0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Inappropriate schedule of drug administration, Wrong drug administered SMQs: Write-up: Information has been received from a nurse practitioner concerning a 44 year old female who was supposed to receive ADACEL on 25-NOV-2008 was accidentally vaccinated with a dose of GARDASIL (lot # 659184/0843X). The patient was also outside the recommended age for the vaccine. Unspecified medical attention was sought. Additional information has been requested. This is in following to report previously submitted on 12/12/2008 : 1/7/2009. Information has been received from a nurcse practioner (N.P.) concerning a 44 year old female who was supposed to receive ADACEL on 25-NOV-2008 was accidentally vaccinated with a dose GARDASIL (lot# 659184/063X). The patient was also outside the recommended age for the vaccine. Unspecified medical attention was sought. Follow up information was received from a person at the the providers center who reported that she was the one who inadvertently administered the wrong vaccine to the patient. She reported that it was a case of human error) she simpley grabbed the wrong vaccine. She said that the patient had no side effects to report. Follow-up information has been received from a nurse practioner concerning a 44 year old female in sales who on the morning of 25-NOV-2008 was accidentally vaccinated in the right arm with the first dose of GARDASIL (lot# 659164/0643X). As of the report date, there was still no adverse event. No further information is avaliable.
VAERS ID: 336528 (history)   Vaccinated: 0000-00-00 Age: 20.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA04235
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Dizziness, Nausea SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad) Write-up: Information has been received from a news source concerning a 20 year old female who on an unspecified date was vaccinated with GARDASIL. The reporter indicated that the patient believed that she had an adverse effect after receiving GARDASIL. The patient complained of nausea and dizzy spells after vaccination. No further information is available.
VAERS ID: 336529 (history)   Vaccinated: 0000-00-00 Age: 14.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA04230
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Fatigue SMQs: Write-up: Information has been received from a news source concerning a 14 year old female who on an unspecified date was vaccinated with GARDASIL. The reporter indicated that the patient believed that she had an adverse effect after receiving GARDASIL. The patient now suffers from chronic fatigue. No further information is available.
VAERS ID: 336530 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Hawaii   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA04149
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site pain, Injection site reaction SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: Information has been received from a pharmacist concerning an unknown numbers of patients who were vaccinated with GARDASIL. The patients complained of injection site reactions including pain. The reporter did not have any detailed information. The outcome of adverse event was not reported. It was not reported whether the patients sought medical attention. Additional information has been requested.
VAERS ID: 336531 (history)   Vaccinated: 2008-11-25 Age: 10.0   Onset: 2008-11-25, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 17 Location: Arizona   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA04129
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) AVENTIS PASTEUR U2772AA   IM RA HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Eye rolling, Immediate post-injection reaction, Syncope, Tremor SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow) Write-up: Information has been received from a nurse concerning a 10 year old female who on 25-NOV-2008 was vaccinated with GARDASIL (lot # not provided) for her first dose. ON 25-NOV-2008, after receiving GARDASIL, the patient fainted. The patient sought medical attention and recovered on 25-NOV-2008. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/12/2008. Follow up information was received from the nurse practitioner. It was reported the patient was vaccinated with GARDASIL intramuscularly in the left deltoid. Concomitant therapy also given on 25-NOV-2008 included FLUZONE (lot # U2772AA) which was was vaccinated with intramuscularly in the right deltoid on the same day. Right after GARDASIL was given the patient fainted. Her eyes rolled back and had some shakiness. No further information was available.
VAERS ID: 336532 (history)   Vaccinated: 2008-11-20 Age: 9.0   Onset: 2008-11-20, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 22 Location: Texas   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Penicillin allergy; Drug hypersensitivity Preexisting Conditions: Gastroesophageal reflux; Stomach ache Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA04125
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0843X 2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site erythema, Injection site swelling, Pain in extremity SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Information has been received from a physician concerning a 9 year old female with penicillin allergy and Rocephin hypersensitivity and a history of gastroesophageal reflux and stomach ache who on 19-JUN-2008 was vaccinated intramuscularly with first dose of GARDASIL (lot # 659655/14486U) 0.5 mL, on 20-AUG-2008 was vaccinated with a second dose of GARDASIL (lot # 660389/1968U) and on 20-NOV-2008 was vaccinated with a third dose of GARDASIL (lot # 659184/0843X). There was no concomitant medication. On 20-NOV-2008 the patient developed a swollen and red area about the size of a golf ball at the site of injection after the third dose of complained of pain when pressure was applied to the area and during movement of her arm. The patient visited the office. Ice was applied to the area and improvement occurred within 20 to 30 minutes. At the time of reporting, the patient was recovering. Additional information has been requested.
VAERS ID: 336533 (history)   Vaccinated: 2008-11-20 Age: 24.0   Onset: 2008-11-20, Days after vaccination: 0 Gender: Female   Submitted: 2009-04-07, Days after onset: 137 Location: Indiana   Entered: 2008-12-15, Days after submission: 112	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Drug hypersensitivity Preexisting Conditions: Hives Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA04123
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0571X 0 IM UN
Administered by: Private     Purchased by: Private Symptoms: Injection site pain, Injection site swelling, Pain, Pain in extremity SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow) Write-up: Information has been received from a healthcare worker concerning a 24 year old female with hypersensitivity to AMOXICILLIN (+) AUGMENTIN who on 20-NOV-2008 was vaccinated with the first dose of GARDASIL, lot 660620/0571X, 0.5 ml, intramuscularly. There was no concomitant medication. On 20-NOV-2008 the patient experienced persistent arm pain since she received her first dose of GARDASIL. Patient not recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/12/2008. Follow up information has been received from a registered nurse concerning the waitress (weight 202 pounds, height 67 inches) with AUGMENTIN allergy (hives) who on 20-NOV-2008 was vaccinated with the first dose of GARDASIL, lot 660620/0571X, 0.5 mL, intramuscularly, in her right deltoid. The nurse indicated that on 25-NOV-2008 the patient called with complaint of right deltoid sore (onset 20-NOV-2008) and stated that the injection site swelled. She had the patient stop by the physician''s office, the physician didn''t find swelling, erythema or skin induration at the injection site. On 22-Jan-2009 the patient received her second dose of GARDASIL (lot # not reported), no complaints of or problems, just soreness for 1 day. Additional information is not expected.
VAERS ID: 336534 (history)   Vaccinated: 0000-00-00 Age: 10.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Tennessee   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA04115
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Menstruation irregular SMQs:, Fertility disorders (broad) Write-up: Information has been received from a physician concerning a 10 year old female who was vaccinated with a first dose of GARDASIL. The patient had spotting for two days and then experience resolved. There was no laboratory studies performed. The patient sought medical attention through a call to the physician. Additional information has been requested.
VAERS ID: 336537 (history)   Vaccinated: 2008-10-15 Age:    Onset: 2008-10-15, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 58 Location: Pennsylvania   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Pregnancy NOS (LMP = 8/1/2008) Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03989
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     IM UN
Administered by: Other     Purchased by: Other Symptoms: Abdominal pain, Drug exposure during pregnancy, Ovarian cyst SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Write-up: Information has been received from a female concerning herself, with no medical history of allergies, who on 15-OCT-2008 was vaccinated with GARDASIL, 0.5ml, intramuscularly. There was no concomitant medication. Caller stated that she was pregnant at the time she received the vaccine. The last menstrual period was approximately on 01-AUG-2008 and the estimated delivery date is 08-MAY-2008. No AE related to the pregnancy reported. Caller stated that she experienced "severe pain" in her abdominal muscle and she no longer had that pain. Caller also stated that she developed a cyst on her right ovary after she got the vaccine. The patient did not indicated if the cyst has improved. The patient sought unspecified medical attention. Additional information has been requested.
VAERS ID: 336538 (history)   Vaccinated: 2008-06-21 Age: 19.0   Onset: 2008-06-21, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 174 Location: Maryland   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: BENADRYL Current Illness: Penicillin allergy Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03982
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0072X 1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Fatigue, Injection site pain, Injection site pruritus, Injection site rash, Limb discomfort SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow) Write-up: Information has been received from a registered nurse concerning a 19 year old female patient with AMOXICILLIN allergy who on 21-JUN-2008 was vaccinated intramuscularly with a 0.5 ml first dose GARDASIL and experienced mild tenderness at the injection site for one day. On 01-AUG-2008 she received the second dose of GARDASIL (LOT # 660557/0072X). Following the second dose, the patient experienced an itchy hive-like rash at the injection site that lasted for 4 months, and fatigue and leg symptoms. The reporter stated that the patient was not seen by a physician for the symptoms. Additional information has been requested. This is in follow-up to reports previously submitted on 12/12/2008. Information has been received from a registered nurse concerning a 19 year old stundent female patient with amoxicillin allergy who on 2-JUN-2008 was vaccinated intramusculary in her left deltoid with a 0.5 ml first dose of GARDASIL (LOT #659183/1757U) and experienced mild tenderness at the injection site for one day. On 01-AUG-2008 she received intramusculary in her right deltoid the second dose of GARDASIL (LOT # 660557/0072X). Following the second dose, the patient experienced an itchy hive-like rash at the injection site that lasted for 4 months, and fatigue and leg symptoms. The reporter stated that the patient was not seen by a physician for the symptoms. Follow-up information has been received from a registered nurse concerning the patient who complained of experiencing rash and itch at the injection site for four weeks (previously reported as four months) after receiving the second dose of GARDASIL vaccine given on 01-AUG-2008. It was reported that the patient did not seek medical attention during that time and on 21-NOV-2008 she reported the event when she went back to receive the third dose of GARDASIL vaccine. The vaccination was deferred and on 12-DEC-2008 the patient received intramusculary in her left deltoid the third dose of GARDASIL (LOT #660616/0570X) along with Benadryl 50 mg. orally given 30 minutes prior vaccination as per patient''s physician. The nurse stated that the patient''s mom denied any itch or rash after the third vaccination with HPV vaccine. No further information is available.
VAERS ID: 336539 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Unknown   Submitted: 2008-12-12 Location: Louisiana   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03947
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site rash SMQs:, Hypersensitivity (narrow) Write-up: Information has been received from office manager concerning a patient who on an unspecified date was vaccinated with GARDASIL. On unspecified date the patient experienced a rash at the injection site for 2 weeks. The patient contacted office. On unknown date, the patient recovered. Additional information has been requested.
VAERS ID: 336540 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03941
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site abscess, Injection site infection SMQs: Write-up: Information has been received from a physician concerning a female who was vaccinated with a first dose of GARDASIL. Subsequently the patient experienced an abscess or an infection at the injection site. The physician reported that this is not a patient of hers and she heard about the experience from a third party. Attempts to verify the existence of an identifiable patient has been unsuccessful. No further information is available.
VAERS ID: 336541 (history)   Vaccinated: 2008-01-17 Age: 17.0   Onset: 2008-10-08, Days after vaccination: 265 Gender: Female   Submitted: 2008-12-12, Days after onset: 65 Location: Pennsylvania   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: IMITREX (SUMATRIPTAN) Current Illness: Pregnancy NOS (LMP = 10/6/2008) Migraine Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03935
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1061U 1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Inappropriate schedule of drug administration SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Write-up: Information has been received from a registered nurse, for the Pregnancy Registry of GARDASIL vaccine, concerning an 18 year old female with migraines who was intramuscularly vaccinated with the first , second and third 0.5 ml doses of GARDASIL vaccine on 27-SEP-2007, 17-JAN-2008 and 10-NOV-2008 respectively (lot number: dose 1: 658563/1063U, dose 2: 658558/1061U, dose 3: 659184/0843X). Concomitant therapy included IMITREX (Sumatriptan). The patient was pregnant and her LMP was 06-OCT-2008. On 23-NOV-2008 the patient performed urine pregnant test but no result provided. No symptoms reported. The patient went to the office for medical attention on 24-NOV-2008. It was reported that the patient began albuterol and augmentin for an unspecified illness. Additional information has been requested.
VAERS ID: 336542 (history)   Vaccinated: 2008-09-25 Age: 17.0   Onset: 2008-11-11, Days after vaccination: 47 Gender: Female   Submitted: 2008-12-12, Days after onset: 31 Location: California   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: Pap test, 11/11/08, HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68 CDC 'Split Type': WAES0811USA03925
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Papilloma viral infection, Smear cervix abnormal SMQs: Write-up: Information has been received from a consumer concerning her 17 year old daughter without medical history or drug allergies who around 25-SEP-2008 was vaccinated with the first 0.5 ml dose of GARDASIL (lot number not provided). There was no concomitant medication. Around 11-NOV-2008 the patient had PAP and urine analysis done and it was discovered that she had HPV (the patient developed HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68). No further information was provided. The outcome was unknown. The patient sought unspecified medical attention. Additional information has been requested.
VAERS ID: 336543 (history)   Vaccinated: 2008-10-01 Age: 18.0   Onset: 2008-10-01, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 72 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03822
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Menstruation delayed, Menstruation irregular, Metrorrhagia SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad) Write-up: Information has been received from a consumer who is the mother of the 18 year old female patient. The patient at the beginning of October 2008, was vaccinated with a first dose of GARDASIL. When the patient received the first dose of GARDASIL, she was supposed to get her menstrual period that next week, but she ended up being two weeks later and when she did get her period it was very light and then it stopped. Then a few days later she had gotten her period again which it was light again and then it stopped. Then a few weeks later the patient got her period again which the bleeding was heavier than it ever has been before. Last week the patient was spotting again. As of 24-NOV-2008, the patient had not started her period again. No further information is available.
VAERS ID: 336544 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: New York   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03821
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Dizziness, Fall SMQs:, Anticholinergic syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad) Write-up: Information has been received from a physician concerning a female adolescent patient who was vaccinated on an unspecified date with a dose of GARDASIL, and stood up right away and got dizzy, light headed and fell down. The patient did not loose consciousness. Subsequently, the patient recovered. The did not seek medical attention. Additional information has been requested.
VAERS ID: 336545 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Unknown   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Diagnostic Lab Data: CDC 'Split Type': WAES0811USA03810
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Pain SMQs: Write-up: Information has been received from a nurse practitioner concerning an unspecified number of patients who were vaccinated with a dose of GARDASIL (route, site of administration and batch number not reported). The patient have had pain from GARDASIL. The outcome is unknown. This is one of several reports from the same source.
VAERS ID: 336546 (history)   Vaccinated: 2008-10-28 Age: 16.0   Onset: 2008-10-29, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-12, Days after onset: 44 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA03747
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0576X 0 UN UN
Administered by: Private     Purchased by: Other Symptoms: Fatigue, Menstruation delayed, Pain SMQs:, Fertility disorders (broad) Write-up: Information has been received from a nurse practitioner concerning a 16 year old female patient, with no pertinent medical history and no allergies/drug reactions, who on 28-OCT-2008 was vaccinated with GARDASIL (lot # 661530/0575X). There was no concomitant medication. On 29-OCT-2008 the patient experienced fatigue, achiness and menstrual period was late. The patient sought medical attention via telephone. The patient had not recovered as of 21-NOV-2008. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/12/2008. On follow up the patient''s mother reported that menstruation finally came almost two weeks late. Additional information is not expected.
VAERS ID: 336547 (history)   Vaccinated: 0000-00-00 Age: 14.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: Migraine Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03715
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Dizziness, Feeling cold, Hot flush, Malaise, Menstruation irregular, Migraine, Muscular weakness, Rash erythematous, Swelling, Vomiting SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Fertility disorders (broad), Hypersensitivity (narrow) Write-up: Information has been received from a consumer concerning her granddaughter, a 14 year old female with a history of migraines who was vaccinated with the first dose of GARDASIL. There was no concomitant medication. Subsequently the patient developed a red rash and swelling. The patient was experiencing dizziness, muscle weakness, malaise, hot and cold flashes, vomiting, irregular menstrual periods and an increase in severity of migraines. The patient was more prone to illness. The patient''s red rash and swelling and dizziness and muscle weakness and malaise and hot and cold flashes and vomiting and irregular menstrual periods and increase in severity of migraines and more prone to illness persisted. Medical attention was sought in the physician''s office. No further information is available.
VAERS ID: 336548 (history)   Vaccinated: 2008-10-16 Age: 11.0   Onset: 2008-10-16, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 57 Location: Indiana   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Influenza virus vaccine Current Illness: Preexisting Conditions: None Respiratory abnormality, unspecified. PMH: feeding issues in infancy. behavior problems. Cardiac arrhythmia. Allergies & asthma. Family hx: thyroid disorders. Diagnostic Lab Data: Unknown LABS: rapid strep neg. CXR neg. Segs 82.1%(H), monos 3.3(L). CO2 21(L), creatinine 0.6(L). Calcium 10.7(H). Gastric occult blood neg. UA abnormal w/protein & ketones; c/s neg. Abdominal/KUB x-ray neg. Sinus x-ray WNL. Abdominal CT scan WNL except for right renal lesion, likely cyst. EKG showed sinus arrhythmias. 10/25/08 labs: segs 85%(H), lymphs 11.1%(L), monos 3.6%(L). ALP 373(H), CO2 19(L). Calcium 10.3(H). UA WNL. Abdominal CT scan WNL. CDC 'Split Type': WAES0811USA03689
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2761AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1487U 0 IM LA
Administered by: Private     Purchased by: Private Symptoms: Abdominal X-ray, Asthenia, Blood alkaline phosphatase increased, Blood calcium increased, Blood creatinine decreased, Carbon dioxide decreased, Chest X-ray normal, Computerised tomogram normal, Culture urine negative, Decreased appetite, Dehydration, Diarrhoea, Dizziness, Dyspnoea, Electrocardiogram abnormal, Electrocardiogram ambulatory, Fatigue, Flushing, Insomnia, Lymphocyte percentage decreased, Monocyte percentage decreased, Nausea, Neutrophil percentage increased, Occult blood negative, Rash, Renal cyst, Rhinitis allergic, Sinus arrhythmia, Sinusitis, Streptococcus identification test negative, Urinary system X-ray, Urine analysis abnormal, Urine ketone body present, Urine protein, quantitative, Ventricular extrasystoles, Viral infection, Viral skin infection, Vomiting, X-ray normal SMQs:, Liver related investigations, signs and symptoms (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Haematopoietic leukopenia (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Disorders of sinus node function (narrow), Ventricular tachyarrhythmias (narrow), Pseudomembranous colitis (broad), Acute central respiratory depression (broad), Biliary system related investigations, signs and symptoms (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow) Write-up: Information has been received from a consumer concerning her 11 year old daughter who on 16-OCT-2008 was vaccinated with her first dose of GARDASIL (route and site not reported). Concomitant therapy included flu vaccine in the same day. On 16-OCT-2008, later that evening the patient experienced vomiting and nausea and was hospitalized for at least 4 days. Patient was vomiting almost every half an hour for those days. When the patient was brought home, she started vomiting again and was hospitalized the second time for 2 days. The patient was recovering. The patient was tested for computed axial tomography (cat scan), magnetic resonance imaging (MRI) and blood test with no result. Follow-up information was received from a registered nurse. The nurse stated that the patient received dose 1 of GARDASIL 0.5 ml IM on 16-OCT-2008. The patient was treated with Phenergan and her symptoms were almost completely resolved. Additional information has been requested. Follow up information was received from the patient''s mother concerning her 11 year old daughter. The patient had symptoms of respiratory abnormality at the time of vaccination. On 16-OCT-2008 the patient was vaccinated with GARDASIL (lot number 659657/1487U) IM into her left arm. Concomitant therapy included FLUZONE (lot number U2761AA) IM into her left arm. On 17-OCT-2008 the patient experienced vomiting and was hospitalized. The patient had stayed in the hospital for 4 days. Complete blood count. Streptococcus. basic metabolic panel, urinalysis, chest poster-anterior/laterial and gastric occult blood were performed with no result reported. The patient recovered at the time of reporting. Additional information is not expected. 1/22/09 Received PCP medical records of 10/16-10/25/2008. Records reveal pt in state of usual health on day of vaccination. Later same day, parent had to pick up from school due to SOB, weakness & dizziness. Seen same day by PCP & dx w/allergic rhinitis. Tx w/antihistamines. Developed vomiting. RTC 10/20 for same & sent to hospital. RTC 10/24 s/p hospitalzation. Concerns for PVCs noted in hospital & continued lightheadedness, otherwise feels well. Referred for Holter monitor. Recurrent vomiting 10/25 & was readmitted to hospital. 1/22/09 PCP records included hospital medical records of 10/20-10/23/2008. FINAL DX: vomiting w/dehydration & viral exanthem Records reveal patient experienced bilious vomiting x 5 days, poor appetite, lack of sleep, fatigue. Had been seen in PCP office previous week for viral infection w/SOB & dizziness. In hospital had nausea & diarrhea. On 3rd day in hospital developed facial flushing & rash. 1/30/09 Received additional hospital medical records of 10/25-10/26/2008. FINAL DX: dehydration, bilious vomiting & sinusitis Tx w/IVF & oral antibiotics. Improved overnight & d/c to home on continued oral antibiotics w/PCP f/u.
VAERS ID: 336556 (history)   Vaccinated: 2008-12-31 Age: 17.0   Onset: 2008-12-31, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-31, Days after onset: 0 Location: Missouri   Entered: 2009-01-06, Days after submission: 6	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: None Preexisting Conditions: None Diagnostic Lab Data: BPS, 8:10 92/54 P60, 8:15 98/72 P64, 8:18 96/64 sitting P72, 8:20 112/68 P64 CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 14866 0 IM LA
Administered by: Public     Purchased by: Public Symptoms: Blood pressure decreased, Loss of consciousness SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad) Write-up: Patient blacked out after receiving HPV vaccine.
VAERS ID: 336566 (history)   Vaccinated: 2008-11-20 Age: 17.0   Onset: 2008-11-20, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 22 Location: Michigan   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA03667
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0650X 1 IM UN VARCEL: VARICELLA (NO BRAND NAME) UNKNOWN MANUFACTURER     UN UN
Administered by: Other     Purchased by: Other Symptoms: Eye swelling SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow) Write-up: Information has been received from a healthcare worker concerning a 17 year old female who on 19-SEP-2008 was vaccinated with a first dose of GARDASIL vaccine (lot # 661044/0548X) intramuscularly. On 20-NOV-2008, the patient was vaccinated with a second dose of GARDASIL vaccine (lot # 661764/0650X) intramuscularly. Secondary suspected therapy included varicella virus vaccine live on 20-NOV-2008. The patient developed swelling to her eyes after receiving her second dose of GARDASIL vaccine. The patient had office visit to treat the event. The patient may have experienced eye swelling after her first dose of GARDASIL vaccine, but was not certain. At the time of reporting, the patient was recovering from the event. Additional information has been requested.
VAERS ID: 336567 (history)   Vaccinated: 2008-11-21 Age:    Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03660
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Mass SMQs: Write-up: Information has been received from a physician concerning a female who on 21-NOV-2008 was vaccinated with a second dose of GARDASIL. The patient experienced a lump in right arm after second dose of GARDASIL. The patient sought unspecified medical attention. At the time of reporting, the patient''s outcome was unknown. Additional information has been requested.
VAERS ID: 336568 (history)   Vaccinated: 2008-10-02 Age: 11.0   Onset: 2008-10-02, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 71 Location: Iowa   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03656
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1740U 1 IM UN
Administered by: Private     Purchased by: Private Symptoms: Pain SMQs: Write-up: Information has been received from a nurse practitioner concerning a patient who was vaccinated with the second dose of GARDASIL (route, site of administration and batch number not reported) early on 02-OCT-2008. Subsequently the patient experienced pain from GARDASIL. The outcome is unknown. This is one of several reports from the same source. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/12/2008. Follow up information received from a nurse practitioner providing the name and date of birth of a patient who experienced pain after her second dose of GARDASIL vaccine (yeast). Follow up information was received from a nurse practitioner concerning the 11 year old female patient with no pre-existing allergies, birth defects, or medical conditions who was vaccinated intramuscularly in the left arm with the second dose of GARDASIL vaccine (lot#659962/1740U) on 02-OCT-2008. On 02-OCT-2008 the patient experienced pain from GARDASIL vaccine. There was no illness at the time of vaccination. No relevant diagnostic tests or laboratory tests were performed. The patient recovered on 02-OCT-2008. This is one of several reports from the same source. No further information is available.
VAERS ID: 336569 (history)   Vaccinated: 2008-11-18 Age: 19.0   Onset: 2008-11-20, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-12, Days after onset: 22 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03624
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site pain SMQs:, Extravasation events (injections, infusions and implants) (broad) Write-up: Information has been received from a 19 year old female who on 18-NOV-2008 was vaccinated with a dose of GARDASIL. The patient reported that on 20-NOV-2008, "my arm is hurting me at the injection site". The outcome of the patient was not reported. She did not seek medical attention. Additional information has been requested.
VAERS ID: 336570 (history)   Vaccinated: 2008-08-28 Age: 13.0   Onset: 2008-08-28, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 106 Location: Oregon   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: ZYRTEC NASONEX ZANTAC vitamins (unspecified) Current Illness: Hypersensitivity Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03570
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Hypoaesthesia, Pain in extremity SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad) Write-up: Information has been received from a registered nurse concerning a 13 year old patient with allergies who on 28-AUG-2008 was vaccinated with a first dose of GARDASIL vaccine into her left arm, in the afternoon approximately at 3:00 pm. Concomitant medication included ZYRTEC, vitamins (unspecified), ZANTAC and NASONEX. The only that she had been taking every evening was apparently mometasone furoate. The patient complained of numbness and pain in the arm that the dose was given the whole night. There was no swelling or redness in the area of injection. It was also reported a little redness. Pain eased up somewhat next day (not a persistent), numbness lasted approximately three days. No medical interventions or treatment for the adverse events. No other signs and symptoms reported besides the above mentioned which lasted approximately three days after injection. The patient came for the second dose of GARDASIL vaccine on 30-OCT-2008 but she did not receive it. Additional information has been requested.
VAERS ID: 336571 (history)   Vaccinated: 0000-00-00 Age: 17.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: California   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03561
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Urticaria SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow) Write-up: Information has been received from a physician concerning a 17 year old female who on an unspecified date was vaccinated with a first dose of GARDASIL and no reaction was noted. On an unspecified date the patient received a second dose of GARDASIL and developed hives, "4 hours after the second dose was given". The patient did not seek medical attention. Additional information has been requested.
VAERS ID: 336572 (history)   Vaccinated: 2008-10-06 Age: 17.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Wisconsin   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None PMH:heart murmur secondary to pulmonic valve insufficiency, migraine HA. Family hx: HTN, migraine, DMII. Diagnostic Lab Data: LABS: MRI brain abnormal. CBC, chemistry, ESR, monospot & thyroid studies all WNL. CSF: WBC 1, RBC 1, protein 20, glucose 48 all WNL. diagnostic hematology, negative; magnetic resonance, negative; Lyme disease assay, negative CDC 'Split Type': WAES0811USA03542
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0571X 2 IM UN
Administered by: Private     Purchased by: Other Symptoms: Abdominal pain upper, Borrelia burgdorferi serology negative, CSF test normal, Condition aggravated, Cough, Dizziness, Dysmenorrhoea, Epstein-Barr virus antibody negative, Erythema infectiosum, Fatigue, Full blood count normal, Headache, Hypophagia, Injection site pain, Injection site swelling, Laboratory test normal, Lumbar puncture, Lymph node pain, Lymphadenopathy, Malaise, Menorrhagia, Muscular weakness, Nausea, Neurological examination normal, Nuclear magnetic resonance imaging brain abnormal, Oropharyngeal pain, Paraesthesia, Rash erythematous, Rash pruritic, Red blood cell sedimentation rate normal, Sensation of heaviness, Streptococcus identification test negative, Thyroid function test normal, Viral pharyngitis SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Vestibular disorders (broad), Hypersensitivity (narrow) Write-up: Information has been received from a consumer concerning of her daughter, a 17 year old female with no pertinent medical history and without concomitant medication. Who after received the first (MAR-2008) and second dose (date unspecified in 2008) of GARDASIL (site and route unspecified) had injection site reactions (soreness and swelling). Subsequently on early October, the patient was vaccinated with the third dose of GARDASIL (site and route unspecified). About a week after vaccination the patient started experiencing tingling and weakness in her arm and legs, dizziness, tiredness, nausea. The patient has been seen by a neurologist but no cause of the problem could be found. On an unspecified date in 2008, the laboratories studies perform were a blood work, MRI and Lymes test which were negative. At the time of reporting, 20-NOV-2008, the outcome of the patient was not recovered. 1/16/09 Reviewed PCP medical records for 3/27-12/22/08. FINAL DX: Records reveal patient experienced usual state of good health on 3/27/08 when received HPV#1, MCV4 & varivax. On 4/27 seen for erythematous itch rash x 4 days & dx w/probable Fifth''s disease. Tx w/topical meds. RTC 6/9/08 w/sore throat & fatigue x 3-5 days, HA resolved, occ cough, oral intake reduced. Rapid strep neg & dx w/viral pharyngitis. RTC 6/12 w/continued sore throat & tiredness & tender cervical lymph node hyperplasia. Dx w/pharyngitis & tx w/oral antibiotics as leaving country next day. RTC 10/13 w/nausea, stomach ache & heavy numb hands & legs. Dx w/dysmenorrhea. RTC 10/26 w/continued fatigue, nausea, stomach ache, lightheaded & extra heavy menstruation x 5-6 days. Dx w/dysmenorrhea, malaise & fatigue & considered BCP. Referred to neuro prior to starting BCP due to hx of migraine HA. Neuro consult 10/24/08 for paresthesias/tingling of hands/feet, balance difficulties, gen. weakness all beginning approx 10/12/08. Neuro exam completely WNL & no dx provided. Returned to neuro 11/11/08 for review of abnormal MRI, no change in physical assessment. Returned to neuro 12/22/08 for LP with no change in physical assessment. This is in follow-up to report(s) previously submitted on 12/12/2008. Follow up information on 29-DEC-2008, has been received from a certified medical assistant concerning a 17 year old female patient with no known allergies or pertinent medical history who on 27-MAR-2008 was vaccinated with the first dose of GARDASIL (Lot: 659655/1486U) intramuscularly, and on 06-OCT-2008 the patient was vaccinated with the third dose of GARDASIL (Lot: 560620/0571X) intramuscularly. The medical assistant reported there was no adverse event. Additional information has been requested.
VAERS ID: 336573 (history)   Vaccinated: 0000-00-00 Age: 15.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: South Carolina   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Anxiety; Eating disorder; fear of needles Preexisting Conditions: Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA03529
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Immediate post-injection reaction, Loss of consciousness, Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow) Write-up: Information has been received from a certified nurse midwife concerning a 15 year old female patient who on 18-FEB-2008 was vaccinated intramuscularly in the deltoid area with the first dose of GARDASIL (lot # 657621/0387U). The nurse practitioner mentioned that the patient became faint several minutes after receiving the vaccine. The patient received her first dose of GARDASIL and waited 15 minutes and was fine. Then when she got up to leave, her knees buckled and she passed out. The practitioner nurse reported that the patient had not eaten that day and was anxious about the shot. The nurse reported that the patient was terrified of needles so the fainting was dubious. The patient recovered immediately without incidence. The patient sought unspecified medical attention. Additional information is not expected.
VAERS ID: 336574 (history)   Vaccinated: 2008-11-09 Age: 23.0   Onset: 2008-11-10, Days after vaccination: 1 Gender: Female   Submitted: 2008-12-12, Days after onset: 32 Location: Washington   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA03515
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     IM UN
Administered by: Other     Purchased by: Other Symptoms: Burning sensation, Rash generalised, Rash pruritic SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (narrow) Write-up: Information has been received from an office manager concerning a 23 year old female with no known drug reactions/allergies and no pertinent medical history, who on 09-NOV-2008 was vaccinated with GARDASIL, 0.5ml, intramuscularly. There was no concomitant medication. The office manager reported that on 10-NOV-2008, the patient developed pruritic and burning rash all over her body after her first dose of GARDASIL. The patient was prescribed an antihistamine. The patient sought medical attention via telephone. At the time of the report, the patient has not recovered. Additional information has been requested.
VAERS ID: 336575 (history)   Vaccinated: 2008-09-03 Age: 20.0   Onset: 2008-09-03, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 100 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Pregnancy NOS (LMP= Unknown), Drug hypersensitivity Preexisting Conditions: Eating disorder; Oesophageal acid reflux; Low grade squamous intraepithelial lesion; Pelvic inflammation; Cervical Pap smear Diagnostic Lab Data: Beta-human chorionic, 09/13/08, positive CDC 'Split Type': WAES0811USA03495
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Injection site erythema, Injection site induration, Injection site irritation, Injection site pain, Injection site swelling, Pregnancy test positive SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow) Write-up: Information has been received from a 20 year old female with anatryptaline allergy and a history of eating disorder, acid reflux and pelvic inflammation (physician found " low recessive cells for cervical"; after treatment and another PAP test the physician suggested getting HVP vaccine) who on 03-SEP-2008 was vaccinated in the upper arm with the first dose of GARDASIL. On 13-SEP-2008 she found out she was pregnant. On an unknown date she received a flue shot and prenatal vitamins. On the day of vaccination the patient experienced "burning pain at the time the shot was given, and after the injection she had a little red dot for a couple of days that eventually turned into a swelled up knot that was very painful to the touch". The consumer recovered "2 and a half weeks after getting the vaccine". The consumer sought unspecified medical attention.
VAERS ID: 336576 (history)   Vaccinated: 2008-08-12 Age: 18.0   Onset: 2008-08-12, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 122 Location: Texas   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA03472
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0072X 0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Abdominal pain, Headache, Nausea, Oropharyngeal pain, Pyrexia SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow) Write-up: Information has been received from a physician concerning an 18 year old female with asthma who on 10-JUN-2008 was vaccinated with the first dose of GARDASIL and the second dose of GARDASIL on 12-AUG-2008, lot # 660557/0072X, intramuscularly in right deltoid. It was reported that the patient experienced nausea, abdominal pain, headache, sore throat and fever "several " hours after receiving her second dose of HPV
VAERS ID: 336578 (history)   Vaccinated: 2008-06-30 Age: 19.0   Onset: 2008-06-30, Days after vaccination: 0 Gender: Female   Submitted: 2009-01-05, Days after onset: 189 Location: New Jersey   Entered: 2009-01-06, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Pregnancy NOS (LMP = 9/19/2008); Penicillin allergy Preexisting Conditions: Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA03496
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0250X 0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Abortion induced, Drug exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow) Write-up: Information has been received from a Certified Medical Assistant for the Pregnancy Registry for GARDASIL concerning a 19 year old female with penicillin allergy who on 30-JUN-2008 was vaccinated with a 0.5 ml first dose of GARDASIL (LOT # 0250X) and on 29-AUG-2008 received a second dose of GARDASIL (LOT # 0573X). The reporter stated that the patient who had received the GARDASIL vaccine "is pregnant". Her LMP was 19-SEP-2008. Expected date of delivery is 26-JUN-2009. There was no concomitant medication. No adverse effect was reported. The patient was seen in the office for medical attention. Follow up information was received on 30-DEC-2008 from a certified medical assistant who stated that there was a elective termination of the pregnancy. It was unknown if the products of conception were examined or if the fetus was normal. Upon internal review, elective termination was considered to be an other important medical event. Additional information has been requested.
VAERS ID: 336580 (history)   Vaccinated: 0000-00-00 Age: 25.0   Onset: 0000-00-00 Gender: Female   Submitted: 2009-01-05 Location: Florida   Entered: 2009-01-06, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Pregnancy NOS (LMP = Unknown) Drug hypersensitivity Preexisting Conditions: Diagnostic Lab Data: Unknown 11/13/09 Medical records received for date 11/10/09 Diagnostics/Labs: Eosinophils% 12.3(H), potassium 2.6(L), WBC 14.1(H), HCT 35(L), Pregnancy test(-), UA WNL. CDC 'Split Type': WAES0812USA05190
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Abdominal pain, Abortion spontaneous, Blood potassium decreased, Drug exposure during pregnancy, Dysmenorrhoea, Eosinophil percentage increased, Haematocrit decreased, Pelvic inflammatory disease, Pelvic pain, Pregnancy test negative, Urinary tract infection, Urine analysis normal, White blood cell count increased SMQs:, Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (broad) Write-up: Information has been received from a consumer, for the Pregnancy Registry for GARDASIL vaccine, concerning his 25 year old wife general anesthesia allergy who was vaccinated 3 doses of GARDASIL vaccine (Lot # not reported) prior to becoming pregnant. Concomitant therapy included heart medication. Consumer''s wife is the patient in this case. Consumer reported that his wife had completed the GARDASIL vaccine series approximately six months to becoming pregnant with their first child. Consumer reported that they learned at 17 weeks gestation that his wife had lost their baby around 12 weeks of gestation. Laboratory test was performed previous to pregnancy and during pregnancy. Consumer reported that his wife will call back with more specific dates and information. Upon internal review, abortion spontaneous was determined to be an other important medical event. Additional information has been requested. 11/13/09 Medical records received for date 11/10/09. DX: PID, UTI, dysmenorrheal. Presented with pelvic pain x1 month abrupt onset. Pt states intermittent cramps. Assessment: WNL, cervical/uterus exam WNL, pt signed out before external genitalia exam. Pt signed out AMA.
VAERS ID: 336581 (history)   Vaccinated: 2008-05-27 Age: 18.0   Onset: 2008-08-30, Days after vaccination: 95 Gender: Female   Submitted: 2009-01-05, Days after onset: 128 Location: Unknown   Entered: 2009-01-06, Days after submission: 1	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: Termination of pregnancy - elective Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0812USA05011
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1978U 1 UN UN
Administered by: Other     Purchased by: Other Symptoms: Abortion induced, Drug exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow) Write-up: Information has been received from a physician, for the pregnancy registry for GARDASIL, concerning an 18 year old female with a history of 2 pregnancies, 2 elective terminations, 0 live births and no other medical history who on 27-May-2008 was vaccinated with the second dose of GARDASIL (lot#659964/1978U). There was no concomitant medication. Subsequently, she became pregnant and her LMP was 26-Jul-2008. On 30-Aug-2008, about 5 weeks from her LMP, the patient underwent elective termination. Upon internal review, elective termination was determined to be an other important medical event. Additional information has been requested.
VAERS ID: 336610 (history)   Vaccinated: 2008-03-19 Age: 9.0   Onset: 2008-03-20, Days after vaccination: 1 Gender: Female   Submitted: 2009-01-06, Days after onset: 292 Location: Massachusetts   Entered: 2009-01-06	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: OMEPRAZOLE 20 MG CAP, DELAYED RELEASE SOLIA 0.15 MG-30 MCG TAB (DESOGESTREL-ETHINYL ESTRADIOL) FLUCONAZOLE 150 MG TAB LORATADINE 10 MG TAB Current Illness: Chronic vomiting assoc with history of esophageal dilatation. Preexisting Conditions: Allergic to pollen, chronic vomiting. Diagnostic Lab Data: CDC 'Split Type':
Vaccination Manufacturer Lot Dose Route Site FLU: INFLUENZA (SEASONAL) (FLUZONE) SANOFI PASTEUR U2501AA 0 IM LA HEPA: HEP A (HAVRIX) GLAXOSMITHKLINE BIOLOGICALS AHAVB171AA 0 IM LA HPV4: HPV (GARDASIL) MERCK & CO. INC. 1740U 1 IM LA TDAP: TDAP (ADACEL) SANOFI PASTEUR AC52B016BA 0 IM RA TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) SANOFI PASTEUR A04462 0 IM RA VARCEL: VARICELLA (VARIVAX) MERCK & CO. INC. 1759U 1 SC RA
Administered by: Unknown     Purchased by: Unknown Symptoms: Erythema, Skin warm, Swelling, Tenderness SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad) Write-up: Pt presented with approx 5 cm area of redness, sl warmth but minimal swelling. Mildly tender. No streaking. Rx''d Tylenol or Motrin for discomfort.
VAERS ID: 336639 (history)   Vaccinated: 2008-09-01 Age: 20.0   Onset: 2008-09-01, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 102 Location: Florida   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA02823
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 IM UN
Administered by: Other     Purchased by: Other Symptoms: Injection site papule, Pain, Skin warm SMQs: Write-up: Information has been received from a physician concerning an approximately 20 year old female who in approximately September 2008 "a couple months ago" was vaccinated intramuscularly with the first dose of GARDASIL and experienced "small bump" at the injection site that lasted for 3-4 days. On 01-NOV-2008 "17 days ago" the patient was vaccinated with the second dose of GARDASIL and experienced a similar bump for 2 weeks. After 2 weeks, it got larger and painful and it was "hot". At the time of reporting, the patient still has "a little bump" that "hurts a little bit when I touch it". The patient sought unspecified medical attention and had blood work performed. The result was not reported. Additional information has been requested.
VAERS ID: 336640 (history)   Vaccinated: 0000-00-00 Age: 18.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA02737
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Injection site pain, Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad) Write-up: Information has been received from a nurse concerning her 18 year old daughter who was vaccinated with the second and third doses of GARDASIL two years ago (in approximately 2006). After receiving her second and third doses of GARDASIL the patient experienced fever and pain at the injection site two years (in approximately 2006). Lot number was not available. The outcome was unknown. The patient sought unspecified medical attention. Additional information is not expected.
VAERS ID: 336641 (history)   Vaccinated: 2008-06-02 Age: 17.0   Onset: 2008-08-23, Days after vaccination: 82 Gender: Female   Submitted: 2008-12-12, Days after onset: 111 Location: Illinois   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: NUVARING Current Illness: Preexisting Conditions: Pregnancy NOS (LMP=8/23/2008) Penicillin allergy, drug hypersensitivity Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA02673
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 1967U 1 IM UN
Administered by: Other     Purchased by: Other Symptoms: Drug exposure during pregnancy, Smear cervix abnormal SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Write-up: Information has been received from a registered nurse, for the pregnancy registry for GARDASIL, concerning a 17 year old female with allergy to Amoxicillin and Codeine and no relevant medical history who on 03-Mar-2008 was vaccinated intramuscularly with a first 0.5ml dose of GARDASIL (lot number 659441/1446U) (injection site not reported). On 02-Jun-2008 and 08-Sep-2008, the patient was vaccinated intramuscularly with a second and third 0.5ml dose of GARDASIL (lot number 660387/1967U) (injection site not reported). Concomitant therapy included NUVARING. Subsequently the patient was pregnant. Her LMP was 23-Aug-2008. On 22-Sep-2008 the patient had a low grade PAP smear. The patient went to the physician''s office. Laboratory tests included ultrasound and blood work (results unspecified). The outcome of the patient''s experience was unknown. Additional information has been requested.
VAERS ID: 336642 (history)   Vaccinated: 2006-09-28 Age: 31.0   Onset: 2006-09-28, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 806 Location: Michigan   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Pap test, abnormal CDC 'Split Type': WAES0811USA02656
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Smear cervix abnormal SMQs: Write-up: Information has been received from a certified medical assistant concerning an approximately 31 year old female, who on 28-SEP-2006 was vaccinated with the first 0.5ml dose of GARDASIL. In October 2006, the patient was vaccinated with the second 0.5 ml dose of GARDASIL. In March 2007, the patient was vaccinated with the third 0.5ml dose of GARDASIL. On an unspecified date, the papanicolaou test was done and the result revealed abnormal. At the time of this report, the outcome was unknown. The patient was see by the physician and sought unspecified medical attention. Additional information has been requested.
VAERS ID: 336643 (history)   Vaccinated: 0000-00-00 Age: 26.0   Onset: 2008-05-01 Gender: Female   Submitted: 2008-12-12, Days after onset: 225 Location: Tennessee   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Seborrhoea Diagnostic Lab Data: Biopsy, alopecia with mild fibroplasia CDC 'Split Type': WAES0811USA02631
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Alopecia, Biopsy skin abnormal SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Skin tumours of unspecified malignancy (broad) Write-up: Information has been received from a physician concerning a 26 year old female with no drug reactions or allergies and a history of seborrhoea who on unspecified dates was vaccinated with GARDASIL series. Concomitantly, the patient used medicated shampoo. In May 2008, the patient experienced hair loss. At the time of this reporting, the patient was recovering from hair loss. Biopsy was performed and the results showed alopecia with mild fibroplasia. Unspecified medical attention was sought in the office. Additional information has been requested.
VAERS ID: 336644 (history)   Vaccinated: 0000-00-00 Age:    Onset: 0000-00-00 Gender: Unknown   Submitted: 2008-12-12 Location: Louisiana   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA02545
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Syncope SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad) Write-up: Information has been received from a nurse practitioner and a registered nurse concerning a patient who on an unspecified date was vaccinated with a dose of GARDASIL. Shortly after receiving the vaccine the patient experienced syncope. The patient''s outcome was not reported. This is one of several reports from the same source. Additional information has been requested.
VAERS ID: 336645 (history)   Vaccinated: 0000-00-00 Age:    Onset: 2008-10-31 Gender: Female   Submitted: 2008-12-12, Days after onset: 42 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Unknown CDC 'Split Type': WAES0811USA02370
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.     UN UN
Administered by: Other     Purchased by: Other Symptoms: Alopecia SMQs: Write-up: Information has been received from a pharmacy student concerning a female who was vaccinated with an unknown number doses of GARDASIL. The patient experienced hair loss on the top of her head "about 2 weeks ago", on approximately 31-OCT-20088. The patient''s mother called pharmacy. At the time of reporting, the patient recovered. Additional information is not expected.
VAERS ID: 336646 (history)   Vaccinated: 2008-07-01 Age: 14.0   Onset: 2008-07-01, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 164 Location: Texas   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: None Diagnostic Lab Data: skin biopsy, atrophoderma CDC 'Split Type': WAES0811USA02335
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Atrophoderma of Pasini and Pierini, Biopsy skin, Injection site atrophy, Pain in extremity SMQs: Write-up: Information has been received from a physician concerning a 15 year old female who was vaccinated with her third dose of GARDASIL (route and site not reported). In July 2008, the patient developed left arm pain and a depression of her skin at the injection after receiving her third dose of GARDASIL. A skin biopsy was consistent with atrophoderma. The patient''s left arm pain and a depression of her skin at the injection site persisted. Additional information has been requested.
VAERS ID: 336648 (history)   Vaccinated: 2008-10-21 Age: 18.0   Onset: 2008-10-23, Days after vaccination: 2 Gender: Female   Submitted: 2008-12-12, Days after onset: 50 Location: Virginia   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Unknown Current Illness: Preexisting Conditions: Unknown Diagnostic Lab Data: Diagnostic laboratory, normal; Complete blood cell, normal; Erythrocyte, normal; Serum TSH, normal; Rapid plasma reagin, normal CDC 'Split Type': WAES0811USA02328
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   2 UN UN
Administered by: Other     Purchased by: Other Symptoms: Blood thyroid stimulating hormone normal, Full blood count normal, Hyperaesthesia, Laboratory test normal, Paraesthesia, Red blood cell sedimentation rate normal, Syphilis test negative SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad) Write-up: Information has been received from a physician concerning an 18 year old female who was vaccinated with GARDASIL (route and site not reported). On 20-FEB-2008, 22-APR-2008 and 21-OCT-2008, the patient was given the first, second and third dose of GARDASIL separately. There were no adverse effects after the first 2 doses. About 2 days after her last dose of GARDASIL, the patient experienced intermittent episodes of "tingling" in her toes, fingers, and face that last between 30 minutes and 1 hour then resolved. Complete blood panel- complete blood cell count, comprehensive metabolic panel, Sedimentation rate, thyroid stimulating hormone, and Rapid Plasma Reagin done with all results normal. The doctor had characterized this as "a skin disturbance". The patient''s tingling in her toes, fingers and face persisted. Follow-up information was received from the physician. She stated that this 18 year old female received her 3rd dose of GARDASIL on 21-OCT-2008 and 2 days later experienced tingling intermittently of fingertips and toes. She stated that the episode last for about 30 minutes and were still occurring intermittently. The patient reported one episode tingling of the face and also reported that the soles of her feet were more sensitive to touch when the tingling was not present and described the sensation as "ticklish". The patient was not reporting any associated pain and did not experience these symptoms following dose 1 or 2. She was concomitantly taking birth control pills since June and was recently treated for Chlamydia. Additional information has been requested.
VAERS ID: 336650 (history)   Vaccinated: 2008-09-17 Age: 18.0   Onset: 2008-09-17, Days after vaccination: 0 Gender: Female   Submitted: 2008-12-12, Days after onset: 86 Location: Nebraska   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? Yes ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Penicillin allergy; Sulfonamide allergy; Drug hypersensitivity Preexisting Conditions: Reactive airways disease Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA02313
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   3 UN UN
Administered by: Other     Purchased by: Other Symptoms: Disorientation, Dizziness, Inappropriate schedule of drug administration, Migraine, Paraesthesia, Vomiting SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad) Write-up: Information has been received from a physician concerning an 18 year old female with PENICILLIN, BACTRIM and DUAC gel allergy and a history of reactive airways who on 03-JAN-2008, 03-APR-2008, 07-AUG-2008, 17-SEP-2008, was vaccinated with the first, second, third and fourth dose of GARDASIL 0.5ml IM separately. On 17-OCT-2008 the patient experienced the sudden onset of disorientation and dizziness. The patient subsequently experienced parasthesia of the lower extremities which then extended to include both arms and her face, as well as one episode of emesis. The patient was seen in the office within 1 hour of the onset of symptoms. A diagnosis of migraine variant was made and the patient was prescribed PHENERGAN and DARVOCET. The symptoms resolved within 2 hours of onset. Additional information has been requested.
VAERS ID: 336651 (history)   Vaccinated: 2008-10-07 Age: 56.0   Onset: 0000-00-00 Gender: Female   Submitted: 2008-12-12 Location: Unknown   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? No Recovered? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Estrogen (unspecified) Current Illness: Preexisting Conditions: Sulfonamide Allergy Diagnostic Lab Data: None CDC 'Split Type': WAES0811USA02290
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC.   0 UN UN
Administered by: Other     Purchased by: Other Symptoms: Injected limb mobility decreased, Pain, Pain in extremity SMQs: Write-up: Information has been received from a 56 year old female with allergic to Sulfa and no relevant medical history who on 07-Oct-2008 was vaccinated with a first dose of GARDASIL,(lot number, injection site and route not reported). Concomitant therapy included hormone replacement therapy. In October 2008, also reported as a couple of weeks later, the patient experienced pain in her left arm where she received the vaccine. The patient reported that as the weeks went on she had pain in her arm to the point where she could not lift it up, but for now the pain subsided but had a "dull" ache. The patient called the doctor''s office. At the time of this report, the patient''s events was recovering. No further information is available.
VAERS ID: 336652 (history)   Vaccinated: 2008-08-26 Age: 16.0   Onset: 2008-10-01, Days after vaccination: 36 Gender: Female   Submitted: 2008-12-12, Days after onset: 72 Location: Pennsylvania   Entered: 2008-12-15, Days after submission: 3	Life Threatening? No Died? No Permanent Disability? Yes Recovered? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: Preexisting Conditions: None PMH: multiple nevi; Epistaxis Diagnostic Lab Data: Unknown LABS: CT & MRI/MRV brain WNL. ESR, CBC, ANA & RA factor WNL. head computed axial, 11/04/08, normal; magnetic resonance, Head normal; renal function study, 11/10/08, normal; diagnostic laboratory, 70, C3D immune complex; Lyme disease assay, negative; Epstein-Barr virus, negative; serum immunoglobulin E, normal; body temp, normal; complete blood cell, 11/10/08, normal; serum rheumatoid factor, 11/10/08, negative; serum ANA, 11/10/08, negative; erythrocyte, 11/10/08, 2, negative; hepatic function tests, 11/10/08, normal; thyroid function test, normal; serum immunoglobin G, negative; serum B39 virus IgM, negative; component C3 test, normal; component C4 test, normal CDC 'Split Type': WAES0811USA02286
Vaccination Manufacturer Lot Dose Route Site HPV4: HPV (GARDASIL) MERCK & CO. INC. 0070X 1 IM LA
Administered by: Private     Purchased by: Other Symptoms: Abdominal discomfort, Abdominal pain, Anorexia, Antinuclear antibody negative, Arthralgia, Asthenia, Blood immunoglobulin E normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, Borrelia test negative, C1 esterase inhibitor test, Chills, Complement factor C4, Computerised tomogram normal, Epstein-Barr virus test negative, Eye pain, Fatigue, Feeling of body temperature change, Full blood count normal, Headache, Immunoglobulins normal, Influenza like illness, Joint swelling, Liver function test normal, Musculoskeletal pain, Nausea, Neck pain, No reaction on previous exposure to drug, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Parvovirus B19 test negative, Photophobia,