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This is VAERS ID 272431

Case Details

VAERS ID: 272431 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: California  
   Days after vaccination:1
Submitted: 2007-02-14
   Days after onset:32
Entered: 2007-02-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Brain scan normal, Computerised tomogram normal, Condition aggravated, Dystonia, Pain, Tic, Torticollis
SMQs:, Neuroleptic malignant syndrome (broad), Dyskinesia (broad), Dystonia (narrow), Ocular motility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives, Prevacid
Current Illness: Drug hypersensitivity
Preexisting Conditions: Dystonic reaction
Diagnostic Lab Data: head computed axial 01/13/07 - negative
CDC Split Type: WAES0702USA00888

Write-up: Information has been received from a health professional concerning a 14 year old female with allergies to Prozac and Seroquel and a history of dystonic reaction involving the right arm, right leg and neck in 2006 caused by an allergic reaction to Seroquel who on 12-JAN-2007 was vaccinated IM with a first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified) and Prevacid. On 13-JAN-2007 the patient experienced a tic disorder involving her head and neck. The patient also had a rapid, involuntary, spasmodic dystonic reaction and torticollis like movement that appeared painful and continued during sleep. On 13-JAN-2007, the patient was examined in the emergency room and was given Benadryl and Ativan and was released. A CT scan of the brain was negative. On 15-JAN-2007, she was examined by her primary care physician and was given Benadryl IM. She was later examined on 15-JAN-2007 by a neurologist and was given Cogentin IM and was started on oral benztropine mesylate (MSD). ON 17-JAN-2007, 19-JAN-2007, and 05-FEB-2007, the patient was also examined by a neurologist. On 19-JAN-2007 the symptoms began to resolve and on 05-FEB-2007 completely resolved. The patient will continue with Cogentin until 19-FEB-2007. Tic disorder, rapid, involuntary, spasmic dystonic reaction and torticollis like movement were considered to be other important medical events and disabling. Additional information has been requested.

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