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This is VAERS ID 260144

Case Details

VAERS ID: 260144 (history)  
Age: 13.0  
Gender: Female  
Location: California  
Vaccinated:2006-07-25
Onset:2006-07-25
   Days after vaccination:0
Submitted: 2006-07-25
   Days after onset:0
Entered: 2006-07-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0144F / - RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dyskinesia (narrow), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC Split Type:

Write-up: Patient received Hep A in right arm. Then received HPV in left arm. C/O pain & numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


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