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This is VAERS ID 272792

Case Details

VAERS ID: 272792 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Maine  
   Days after vaccination:0
Submitted: 2007-02-20
   Days after onset:9
Entered: 2007-02-21
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Drug screen negative, Dysstasia, Feeling drunk, Incoherent, Lethargy, Urine analysis normal
SMQs:, Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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: NONE
Current Illness: Penicillin allergy, Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: urinalysis 02/11/07 clear, urine drug screen 02/11/07 normal
CDC Split Type: WAES0702USA02702

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with a penicillin allergy and allergy to BENADRYL who on 11-FEB-2007 was vaccinated at another practice with a first dose of Gardasil. There was no concomitant medication. On 11-FEB-2007, 30 minutes after the vaccination, the patient "felt lethargic and could not stand on her own". "She looked like she was drunk and she did not make any sense when she spoke". The patient went to an emergency department and was released. She was reported to have no rash or breathing problems. It was also reported that a urinalysis was clear and drug test was normal. She was reported to have recovered 12 hours after the vaccination./ The reporter felt that the patient''s symptoms were disabling. Additional information has been requested.

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