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This is VAERS ID 267997

Case Details

VAERS ID: 267997 (history)  
Age: 15.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2006-09-22
Onset:2006-09-23
   Days after vaccination:1
Submitted: 2006-11-29
   Days after onset:67
Entered: 2006-11-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Grand mal convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Insulin Meds: Lantus insulin and Novolog.
Current Illness:
Preexisting Conditions: Type 1 Diabetes. NKDA
Diagnostic Lab Data: Labs and Diagnostics: EKG shows sinus arythmia, Drug and pregnancy screens (-), other labs WNL including serum glucose, CXR-normal, head CT-(-). Labs and Diagnostics: UA significant for $g1000mg/dl glucose and 40 ketones. HgbA1C 8.8, otherwise unremarkable.
CDC Split Type:

Write-up: Patient awoke morning after vaccination with grand mal seizure. Her mother took her to a local hospital and she was transferred to another hospital and then to another. MR received from 1st ER visit which reveals a 15 yr old brought in by her mother with c/o confusion, disorientation, and facial distortion on the morning following her Gardasil vax. PE: Significant for confusion and disorientation, otherwise normal. Patient was transfered to another hospital to be followed by a pediatric neurologist, Clinical impression : Altered mental status. MR received from 2nd hospital. Pt. transfered to PICU with a diagnosis of altered mental status. Still somewhat confused but improving upon admission. Improvement in mental status over the next 24 hours and she was transfered to a regular pediatric floor, oriented x3 and with no focal deficits. Discharge DX: New onset seizures (probably 2'' to hypoglycemia per face sheet).


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