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This is VAERS ID 260144

Case Details

VAERS ID: 260144 (history)  
Form: Version 1.0  
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 / UNK RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
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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