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This is VAERS ID 271367

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271367
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
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: UNK
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female (age unspecified) with unspecified history of drug reaction/allergies and no pertinent medical history who on an unspecified date was vaccinated with Gardasil vaccine (yeast) (lot# not rep"orted) 0.5 ml by injection. Concomitant therapy was not reported. Subsequently, the patient experienced a seizure after the injection of Gardasil vaccine (yeast). Medical attention was sought. At the time of reporting, the patient had recovered. Upon inte


Changed on 12/8/2009

271367 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown 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: UNK
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA03718

Write-up:Information has been received from a physician concerning a female (age unspecified) with unspecified history of drug reaction/allergies and no pertinent medical history who on an unspecified date was vaccinated with Gardasil vaccine (yeast) (lot# not rep"orted) reported) 0.5 ml by injection. Concomitant therapy was not reported. Subsequently, the patient experienced a seizure after the injection of Gardasil vaccine (yeast). Medical attention was sought. At the time of reporting, the patient had recovered. Upon inte internal review, seizure was determined to be an Other Important Medical Event. Additional information has been requested.


Changed on 9/14/2017

271367 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

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: UNK
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA03718

Write-up:Information has been received from a physician concerning a female (age unspecified) with unspecified history of drug reaction/allergies and no pertinent medical history who on an unspecified date was vaccinated with Gardasil vaccine (yeast) (lot# not reported) 0.5 ml by injection. Concomitant therapy was not reported. Subsequently, the patient experienced a seizure after the injection of Gardasil vaccine (yeast). Medical attention was sought. At the time of reporting, the patient had recovered. Upon internal review, seizure was determined to be an Other Important Medical Event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271367&WAYBACKHISTORY=ON


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