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This is VAERS ID 273305

Case Details

VAERS ID: 273305 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Texas  
   Days after vaccination:0
Submitted: 2007-02-16
   Days after onset:0
Entered: 2007-03-02
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Fall, Head injury, Injury, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hostility/aggression (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), 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:
Preexisting Conditions:
Diagnostic Lab Data: UNK labs received 3/9/07.CT head:normal C Spine unremarkable
CDC Split Type:

Write-up: Pt received Gardasil and within a minute, pt fainted while sitting on table, fell of and hit her head on a drawer handle, pt began to seize. Called 911, she was stabilized by EMS. 03/05/07-records received from PCP:Five minutes after administration of vaccine episode of eyes rolling back, fell off exam table and struck neck and head on cabinet drawers. Unresponsive to voice with stiffening of all extremities. Event lasted 30 seconds, afterwards alert oriented and recalled speaking to urse prior to event. Glucose 76, O2 sats 99% on RA. BP after episode 99/52, pulse 49. Transported to ER. 03/09/07-records received from facility for DOS 2/16/07-DX:Syncope. Post syncopal seizure.

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