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This is VAERS ID 271177

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271177
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-13
Onset:2007-01-13
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest X-ray normal, Computerised tomogram normal, Convulsion, Blood test normal

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: chest x-ray 01/13/07 - normal, computed axial 01/13/07 - normal, electrocardiogram 01/13/07 - normal
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 16 year old female who on 11-NOV-2006 was vaccinated intramuscularly with 0.5 ml of the first dose of Gardasil vaccine (yeast) (lot#654510/0962F) and had no difficulties with the vaccin"e. On 13-JAN-2007 the patient was given her second dose of Gardasil vaccine (yeast) (lot# not provided). Within a few moments of receiving the vaccine the patient experienced a seizure, had a very brief loss of consciousness and fell to the floor. The pat


Changed on 12/8/2009

VAERS ID: 271177 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-13
Onset:2007-01-13
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest X-ray normal, Computerised tomogram normal, Convulsion, Electrocardiogram normal, Fall, Fatigue, Loss of consciousness, Blood test normal

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: chest x-ray 01/13/07 - normal, computed axial 01/13/07 - normal, electrocardiogram 01/13/07 - normal
CDC 'Split Type': (blank) WAES0701USA02032

Write-up:Information has been received from a health professional concerning a 16 year old female who on 11-NOV-2006 was vaccinated intramuscularly with 0.5 ml of the first dose of Gardasil GARDASIL vaccine (yeast) (lot#654510/0962F) and had no difficulties with the vaccin"e. vaccine. On 13-JAN-2007 the patient was given her second dose of Gardasil GARDASIL vaccine (yeast) (lot# not provided). Within a few moments of receiving the vaccine the patient experienced a seizure, had a very brief loss of consciousness and fell to the floor. The pat patient was sent to the emergency room for evaluation. The patient was not admitted to the hospital. While in the emergency room she had a CT scan, chest-x-ray and unspecified blood work. The results of these tests were all negative. The patient was seen for a follow-up appointment by the physician on 16-JAN-2007. The patient reported that she was tired, however had not suffered any additional seizures. The patient was referred for a neurology consult. The physician considered the event to be life-threatening. At the time of this report the patient had not recovered from the events. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 271177 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-13
Onset:2007-01-13
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0962F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest X-ray normal, Computerised tomogram normal, Convulsion, Electrocardiogram normal, Fall, Fatigue, Loss of consciousness, Blood test normal

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: chest x-ray 01/13/07 - normal, computed axial 01/13/07 - normal, electrocardiogram 01/13/07 - normal
CDC 'Split Type': WAES0701USA02032

Write-up:Information has been received from a health professional concerning a 16 year old female who on 11-NOV-2006 was vaccinated intramuscularly with 0.5 ml of the first dose of GARDASIL vaccine (yeast) (lot#654510/0962F) and had no difficulties with the vaccine. On 13-JAN-2007 the patient was given her second dose of GARDASIL vaccine (yeast) (lot# not provided). Within a few moments of receiving the vaccine the patient experienced a seizure, had a very brief loss of consciousness and fell to the floor. The patient was sent to the emergency room for evaluation. The patient was not admitted to the hospital. While in the emergency room she had a CT scan, chest-x-ray and unspecified blood work. The results of these tests were all negative. The patient was seen for a follow-up appointment by the physician on 16-JAN-2007. The patient reported that she was tired, however had not suffered any additional seizures. The patient was referred for a neurology consult. The physician considered the event to be life-threatening. At the time of this report the patient had not recovered from the events. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 271177 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-13
Onset:2007-01-13
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest X-ray normal, Computerised tomogram normal, Convulsion, Electrocardiogram normal, Fall, Fatigue, Loss of consciousness, Blood test normal

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: chest x-ray 01/13/07 - normal, computed axial 01/13/07 - normal, electrocardiogram 01/13/07 - normal
CDC 'Split Type': WAES0701USA02032

Write-up:Information has been received from a health professional concerning a 16 year old female who on 11-NOV-2006 was vaccinated intramuscularly with 0.5 ml of the first dose of GARDASIL vaccine (yeast) (lot#654510/0962F) and had no difficulties with the vaccine. On 13-JAN-2007 the patient was given her second dose of GARDASIL vaccine (yeast) (lot# not provided). Within a few moments of receiving the vaccine the patient experienced a seizure, had a very brief loss of consciousness and fell to the floor. The patient was sent to the emergency room for evaluation. The patient was not admitted to the hospital. While in the emergency room she had a CT scan, chest-x-ray and unspecified blood work. The results of these tests were all negative. The patient was seen for a follow-up appointment by the physician on 16-JAN-2007. The patient reported that she was tired, however had not suffered any additional seizures. The patient was referred for a neurology consult. The physician considered the event to be life-threatening. At the time of this report the patient had not recovered from the events. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 271177 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-13
Onset:2007-01-13
Submitted:2007-01-24
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest X-ray normal, Computerised tomogram normal, Convulsion, Electrocardiogram normal, Fall, Fatigue, Loss of consciousness, Blood test normal

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: chest x-ray 01/13/07 - normal, computed axial 01/13/07 - normal, electrocardiogram 01/13/07 - normal
CDC 'Split Type': WAES0701USA02032

Write-up:Information has been received from a health professional concerning a 16 year old female who on 11-NOV-2006 was vaccinated intramuscularly with 0.5 ml of the first dose of GARDASIL vaccine (yeast) (lot#654510/0962F) and had no difficulties with the vaccine. On 13-JAN-2007 the patient was given her second dose of GARDASIL vaccine (yeast) (lot# not provided). Within a few moments of receiving the vaccine the patient experienced a seizure, had a very brief loss of consciousness and fell to the floor. The patient was sent to the emergency room for evaluation. The patient was not admitted to the hospital. While in the emergency room she had a CT scan, chest-x-ray and unspecified blood work. The results of these tests were all negative. The patient was seen for a follow-up appointment by the physician on 16-JAN-2007. The patient reported that she was tired, however had not suffered any additional seizures. The patient was referred for a neurology consult. The physician considered the event to be life-threatening. At the time of this report the patient had not recovered from the events. Additional information has been requested.


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