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This is VAERS ID 273691

Case Details

VAERS ID: 273691 (history)  
Age: 12.0  
Gender: Female  
Location: New York  
Vaccinated:2006-12-11
Onset:2006-12-21
   Days after vaccination:10
Submitted: 2007-03-08
   Days after onset:77
Entered: 2007-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2166MA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1163F / 0 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Electroencephalogram, Nuclear magnetic resonance imaging
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~HPV (Gardasil)~2~12.30~In Patient
Other Medications:
Current Illness:
Preexisting Conditions: Developmental delay. PMH: developmental delay-non progressive. Occasional h/a. Lyme Disease age 5. Allergy to nuts, hives from Amoxicillin.
Diagnostic Lab Data: MRI and EEG.. Labs and Diagnostics: Brain MRI WNL. EEG WNL. Fragile X test with normal karyotype.
CDC Split Type:

Write-up: First seizure 10 days after first gardasil vaccine. Two months later, second seizure episode 16 days after second gardasil. 08/22/2008 MR received from Neuro consult dated 12/22/06 (as well as some past hx.) Assessment: 1st Seizure. Most likely a complex partial seizure with secondary generalization. Pt was trying to speak but unable to do so, then had a 30-40 sec grand mal seizure which may have begun in the legs. Neuro exam WNL. 9/11/2008 2 ER recs received dated 12/21/2006 and 6/16/2007 with DX: 1st seizure and seizure. Pt 1st presented 12/21/06 following 30-40 sec seizure. Seen 6/17/07 after 2 episodes of lip quivering and feeling of throat closing which was a similar aura with last grand mal seizure. C/o headache after.


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