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This is VAERS ID 271411

Case Details

VAERS ID: 271411 (history)  
Age: 20.0  
Gender: Female  
Location: Rhode Island  
Vaccinated:2007-01-10
Onset:2007-01-12
   Days after vaccination:2
Submitted: 2007-01-24
   Days after onset:12
Entered: 2007-01-29
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram normal, Grand mal convulsion, Postictal state
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair
Current Illness: NONE
Preexisting Conditions: seasonal allergies, asthma
Diagnostic Lab Data: Ct- Brain Nec Labs received 3/1/07-strep screen negative for group A strep. CBC WNL except for lymphocyte 21.6. CT cranial-no intracranial abnormality. Some evidence her for mild paranasal sinus disease particularly on the left side
CDC Split Type:

Write-up: 48 hours post injection-appeared to have witnessed tonic clonic seizures with postictal phase lasting less than 1 min. 03/01/07-records received from facility for DOS 01/12/2007-DX fainting. 03/01/07-records received from facility for DOS 01/12/2007-DX fainting.


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