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This is VAERS ID 270766

Case Details

VAERS ID: 270766 (history)  
Form: Version 1.0  
Age: 27.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2007-01-08
Onset:2007-01-08
   Days after vaccination:0
Submitted: 2007-01-17
   Days after onset:9
Entered: 2007-01-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Blood test, 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Allegra, Hormonal contraceptives, Singulair.
Current Illness:
Preexisting Conditions: Sulfonamide allergy
Allergies:
Diagnostic Lab Data: Diagnostic laboratory 01/08/07 unspecified.
CDC Split Type: WAES0701USA01029

Write-up: Information has been received from a 27 year old female consumer with sulfa drug allergy and pertinent medical history reported as none who on 08 Jan 2007 was vaccainted with GARDASIL (lot # not reported) 0.5ml injection. Concomitant therapy included Montelukast sodium, ALLEGRA and birth control (unspecified). The consumer reported that on 08 Jan 2007, she had a grand mal seizure after receiving GARDASIL. Medical attention was sought. Unspecified blood test were performed. At the time of reporting, the outcome was unspecified. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


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