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This is VAERS ID 271999

Case Details

VAERS ID: 271999 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2007-01-15
Onset:2007-01-20
   Days after vaccination:5
Submitted: 2007-02-06
   Days after onset:17
Entered: 2007-02-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR V1974AM / UNK RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abnormal sleep-related event, Barium swallow, Chest X-ray, Dyskinesia, Electroencephalogram, Full blood count, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (narrow), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), 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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EEG, CBC, SMAC, chest x-ray and barium swallow
CDC Split Type:

Write-up: Gardasil and Menactra given 1/11/07 beginning 1/22/07 jerking, tremors, shaking episodes occurring only during sleep


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