National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 271365

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271365
VAERS Form:
Age:22.0
Gender:Female
Location:Kansas
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / 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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 22 year old female patient who on approximately 01-NOV-2006 was vaccinated with a first IM dose of Gardasil vaccine (yeast). On approximately 01-NOV-2006 the patient experienced seizure". The reporter had no further information. It was noted that patient was 2 weeks late for her second dose of Gardasil vaccine (yeast) and had not yet received it. Upon internal review, seizure is considered an other important medical event. Additional inf


Changed on 12/8/2009

271365 Before After
VAERS Form:
Age:22.0 21.0
Gender:Female
Location:Kansas
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: 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
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA02456

Write-up:Information has been received from a health professional concerning a 22 year old female patient who on approximately 01-NOV-2006 was vaccinated with a first IM dose of Gardasil GARDASIL vaccine (yeast). On approximately 01-NOV-2006 the patient experienced seizure". seizure. The reporter had no further information. It was noted that patient was 2 weeks late for her second dose of Gardasil GARDASIL vaccine (yeast) and had not yet received it. Upon internal review, seizure is considered an other important medical event. Additional inf information has been requested.


Changed on 9/14/2017

271365 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Kansas
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA02456

Write-up:Information has been received from a health professional concerning a 22 year old female patient who on approximately 01-NOV-2006 was vaccinated with a first IM dose of GARDASIL vaccine (yeast). On approximately 01-NOV-2006 the patient experienced seizure. The reporter had no further information. It was noted that patient was 2 weeks late for her second dose of GARDASIL vaccine (yeast) and had not yet received it. Upon internal review, seizure is considered an other important medical event. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271365&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166