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This is VAERS ID 268288

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

268288
VAERS Form:
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-21
Onset:2006-11-21
Submitted:2006-11-30
Entered:2006-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 17 year old female who on 11/21/06 was vaccinated with an initial dose of HPV Vaccine IM in the deltoid. On 11/21/06, after the initial dose, the pt experienced a seizure. The pt was alert shortl"y after the event and was sent to the emergency department as a precaution. It is unk if the pt was admitted to the hospital. The pt is recovering from seizure. The pt will not continue with subsequent doses of vaccine. Upon internal review, seizure was c


Changed on 12/8/2009

268288 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-21
Onset:2006-11-21
Submitted:2006-11-30
Entered:2006-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0611USA07061

Write-up:Information has been received from a physician concerning a 17 year old female who on 11/21/06 was vaccinated with an initial dose of HPV Vaccine IM in the deltoid. On 11/21/06, after the initial dose, the pt experienced a seizure. The pt was alert shortl"y shortly after the event and was sent to the emergency department as a precaution. It is unk if the pt was admitted to the hospital. The pt is recovering from seizure. The pt will not continue with subsequent doses of vaccine. Upon internal review, seizure was c considered an other important medical event (OMIC). Additional information has been requested.


Changed on 3/14/2014

268288 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-21
Onset:2006-11-21
Submitted:2006-11-30
Entered:2006-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA07061

Write-up:Information has been received from a physician concerning a 17 year old female who on 11/21/06 was vaccinated with an initial dose of HPV Vaccine IM in the deltoid. On 11/21/06, after the initial dose, the pt experienced a seizure. The pt was alert shortly after the event and was sent to the emergency department as a precaution. It is unk if the pt was admitted to the hospital. The pt is recovering from seizure. The pt will not continue with subsequent doses of vaccine. Upon internal review, seizure was considered an other important medical event (OMIC). Additional information has been requested.


Changed on 6/14/2014

268288 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-21
Onset:2006-11-21
Submitted:2006-11-30
Entered:2006-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA07061

Write-up:Information has been received from a physician concerning a 17 year old female who on 11/21/06 was vaccinated with an initial dose of HPV Vaccine IM in the deltoid. On 11/21/06, after the initial dose, the pt experienced a seizure. The pt was alert shortly after the event and was sent to the emergency department as a precaution. It is unk if the pt was admitted to the hospital. The pt is recovering from seizure. The pt will not continue with subsequent doses of vaccine. Upon internal review, seizure was considered an other important medical event (OMIC). Additional information has been requested.


Changed on 3/14/2015

268288 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-21
Onset:2006-11-21
Submitted:2006-11-30
Entered:2006-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA07061

Write-up:Information has been received from a physician concerning a 17 year old female who on 11/21/06 was vaccinated with an initial dose of HPV Vaccine IM in the deltoid. On 11/21/06, after the initial dose, the pt experienced a seizure. The pt was alert shortly after the event and was sent to the emergency department as a precaution. It is unk if the pt was admitted to the hospital. The pt is recovering from seizure. The pt will not continue with subsequent doses of vaccine. Upon internal review, seizure was considered an other important medical event (OMIC). Additional information has been requested.


Changed on 9/14/2017

268288 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Colorado
Vaccinated:2006-11-21
Onset:2006-11-21
Submitted:2006-11-30
Entered:2006-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA07061

Write-up:Information has been received from a physician concerning a 17 year old female who on 11/21/06 was vaccinated with an initial dose of HPV Vaccine IM in the deltoid. On 11/21/06, after the initial dose, the pt experienced a seizure. The pt was alert shortly after the event and was sent to the emergency department as a precaution. It is unk if the pt was admitted to the hospital. The pt is recovering from seizure. The pt will not continue with subsequent doses of vaccine. Upon internal review, seizure was considered an other important medical event (OMIC). Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=268288&WAYBACKHISTORY=ON


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