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This is VAERS ID 267997

Case Details

VAERS ID: 267997 (history)  
Form: Version 1.0  
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 / 1 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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
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
Allergies:
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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