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This is VAERS ID 263354

Event Details Report

VAERS ID:263354  Vaccinated:2006-09-06
Age:17.0  Onset:2006-09-06, Days after vaccination: 0
Gender:Female  Submitted:2006-09-19, Days after onset: 13
Location:Massachusetts  Entered:2006-09-21, Days after submission: 2
Life Threatening Illness? No
Died? No
Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Current Illness:
Diagnostic Lab Data:
Previous Vaccinations:
Other Medications: Hormonal contraceptions.
Preexisting Conditions:
CDC 'Split Type': WAES0609USA02500
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4MERCK & CO. INC.0800F0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Convulsion, Syncope
Write-up: Information has been received from a nurse practitioner concerning a 17 year old female with no other pertinent medical history, adverse drug reactions or allergies reported. On 9/6/06, at 3:30pm, the pt was vaccianted IM with the first dose of 0.5ml of HPV rL1 6 11 16 18 VLP vaccine yeast (lot 654540/0800F). Concomitant therapy included an unspecified hormonal contraceptives (also reported as birth control). On 9/6/06, the pt developed a mild seizure right after receiving HPV rL1 6 11 16 18 VLP vaccine yeast. The pt came to and immediately fainted again. The pt sought unspecified medical attention. It was reported that the pt had not eaten anything all day. After eating, the pt felt better. On 9/6/06, the pt had fully recovered from the events. Upon internal review, the mild seizure was considered to be an other important medical event. Additional information has been requested.

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