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This is VAERS ID 273177

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273177
Age:31.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-12
Onset:2006-12-12
Submitted:2007-02-27
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Amnesia, Convulsion, Dyspnoea, Headache, Incoherent

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GLUCOPHAGE
Current Illness: Type II diabetes mellitus, Sulfonamide allergy, Drug hypersensitivity, Penicillin allergy
Preexisting Conditions: Gastric bypass, gastric stapling reversal, asthma
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a 31 year old female with type II diabetes mellitus, sulfa, morphine, DEMEROL and penicillin allergy and a history of gastric bypass (1994), reverse gastric bypass (1996) and mild as"thma who on 12-DEC-2006 was vaccainted with her first dose of Gardasil (lot #653978/0955F), 0.5 ml, IM. Concomitant therapy included metformin HCL (GLUCOPHAGE). On 12-DEC-2006 less than one hour after receiving her first dose of Gardasil, the patient deve


Changed on 12/8/2009

VAERS ID: 273177 Before After
Age:31.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-12
Onset:2006-12-12
Submitted:2007-02-27
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amnesia, Convulsion, Dyspnoea, Headache, Incoherent, Influenza like illness, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: GLUCOPHAGE
Current Illness: Type II diabetes mellitus, Sulfonamide allergy, Drug hypersensitivity, Penicillin allergy
Preexisting Conditions: Gastric bypass, gastric stapling reversal, asthma
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA03479

Write-up:Information has been received from a licensed practical nurse concerning a 31 year old female with type II diabetes mellitus, sulfa, morphine, DEMEROL and penicillin allergy and a history of gastric bypass (1994), reverse gastric bypass (1996) and mild as"thma asthma who on 12-DEC-2006 was vaccainted vaccinated with her first dose of Gardasil (lot #653978/0955F), 0.5 ml, IM. Concomitant therapy included metformin HCL (GLUCOPHAGE). On 12-DEC-2006 less than one hour after receiving her first dose of Gardasil, the patient deve developed "Flu-Like" symptoms. The patient stated that she had a headache and nausea but was not sure if she had a fever. About ten hours after the initial vaccine was administered the patient had a convulsive seizure. The seizure lasted about 2 minutes. The patient was not coherent and was breathing heavy. After the seizure, the patient continued to fell ill and had no memory of the seizure. The patient did not go to the hospital. The patient''s husband was an EMT, so he attended to her but did not given her any medication. The patient had no prior history of seizures. The next day the patient felt better. Upon internal review, convulsive seizure was considered to be an other important medical event. Additional information has been requested.


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