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This is VAERS ID 273469

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273469
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Grand mal convulsion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician, via a company representative, concerning a 16 year old female patient who in January 2007 (/"last month/"), was vaccinated with the first dose, 0.5ml, of Gardasil. The physician reported that in January 2007"(/"last month/"), the patient experienced a grand mal seizure after receiving her first dose. In addition, the physician reported that the /"patient has no history of seizures and was taken to the ER. The physician did not know if the patient was admitted


Changed on 12/8/2009

VAERS ID: 273469 Before After
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Grand mal convulsion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA04695

Write-up:Information has been received from a physician, via a company representative, concerning a 16 year old female patient who in January 2007 (/"last month/"), ("last month"), was vaccinated with the first dose, 0.5ml, of Gardasil. The physician reported that in January 2007"(/"last month/"), 2007 ("last month"), the patient experienced a grand mal seizure after receiving her first dose. In addition, the physician reported that the /"patient "patient has no history of seizures and was taken to the ER. The physician did not know if the patient was admitted admitted. It was unknown if the patient recovered. Upon internal review, grand mal seizure was determined to be an other medical event. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 273469 Before After
Age:16.0 17.0
Gender:Female
Location:California
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0012U / 0 UN / -

Administered by: Private      Purchased by: Other
Symptoms: Grand mal convulsion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04695

Write-up:Information has been received from a physician, via a company representative, concerning a 16 year old female patient who in January 2007 ("last month"), was vaccinated with the first dose, 0.5ml, of Gardasil. The physician reported that in January 2007 ("last month"), the patient experienced a grand mal seizure after receiving her first dose. In addition, the physician reported that the "patient has no history of seizures and was taken to the ER. The physician did not know if the patient was admitted. It was unknown if the patient recovered. Upon internal review, grand mal seizure was determined to be an other medical event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 273469 Before After
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / -

Administered by: Private      Purchased by: Other
Symptoms: Grand mal convulsion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04695

Write-up:Information has been received from a physician, via a company representative, concerning a 16 year old female patient who in January 2007 ("last month"), was vaccinated with the first dose, 0.5ml, of Gardasil. The physician reported that in January 2007 ("last month"), the patient experienced a grand mal seizure after receiving her first dose. In addition, the physician reported that the "patient has no history of seizures and was taken to the ER. The physician did not know if the patient was admitted. It was unknown if the patient recovered. Upon internal review, grand mal seizure was determined to be an other medical event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 273469 Before After
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-05
Entered:2007-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 UN / -

Administered by: Private      Purchased by: Other
Symptoms: Grand mal convulsion

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA04695

Write-up:Information has been received from a physician, via a company representative, concerning a 16 year old female patient who in January 2007 ("last month"), was vaccinated with the first dose, 0.5ml, of Gardasil. The physician reported that in January 2007 ("last month"), the patient experienced a grand mal seizure after receiving her first dose. In addition, the physician reported that the "patient has no history of seizures and was taken to the ER. The physician did not know if the patient was admitted. It was unknown if the patient recovered. Upon internal review, grand mal seizure was determined to be an other medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273469&WAYBACKHISTORY=ON


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