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This is VAERS ID 268272

Case Details

VAERS ID: 268272 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Illinois  
Vaccinated:2006-08-16
Onset:2006-11-15
   Days after vaccination:91
Submitted: 2006-12-01
   Days after onset:16
Entered: 2006-12-05
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy.
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0611USA06373

Write-up: Information has been received from a physician concerning a 21 year old female with an allergy to penicillin. Who on 8/16/06 was vaccinated with the first dose of HPV vaccine. Concomitant therapy included unspecified birth control pills (since 2005). On 11/22/06 the pt was seen by the physician and was scheduled to receive her second dose of HPV vaccine. At that time the pt reported to the physician that the week prior (date not specified) she had suffered a seizure. The physician clarified that the pt had no prior history of seizures and that the pts general health was very good. The physician did not give the pt the second dose of vaccine because she was unsure if the seizure could have been related to the first dose of the vaccine. At the time of this report the pt had recovered from the seizure. Upon internal review the seizure was felt to be an other important medical event (OMIC). Additional information has been requested.


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