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This is VAERS ID 274378

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274378
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days.


Changed on 12/8/2009

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 3/2/2010

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 4/7/2010

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 1/4/2011

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 4/13/2011

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 5/13/2011

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 6/11/2011

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 6/14/2014

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


Changed on 2/14/2017

VAERS ID: 274378 Before After
Age:16.0
Gender:Female
Location:South Carolina
Vaccinated:2007-02-09
Onset:2007-02-16
Submitted:2007-02-27
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Dystonia, Nuclear magnetic resonance imaging normal, Gaze palsy, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness: Depression
Preexisting Conditions: Depression
Diagnostic Lab Data: MRI 3/2/07 WNL records received 4/11/07-Labs WNL
CDC 'Split Type':

Write-up:Dystonic reaction treated with IV Benadryl then PO Valium in ER. Second ER visit 2/18/07 treated with Cogentin. Symptoms resolved after 12 days. 03/21/07-records received from ER facility for services provided on 3/18 and 3/21/07-DX:Dystonic reaction. HX: involuntary spasms, seen in ER day prior. DX at that time dystonic reaction. treated with benadryl and valium. Had 5 doses of valium, now spasms with eyes rolling. Current medications Lexapro. Allergy: Phenergan (dystonic and psychotic reaction). Neuro exam normal. Spasms observed, eye rolling. DC with cogentin. 2/21/07 seen in ER DX: dystonic medication versus vaccine reaction. Neuro exam normal. No spasm observed. Schedule MRI. 04/11/07-records received from ER for DOS 2/16/07-placed on Lexapro 2 weeks prior to ER visit. C/O erratic jerking moments. Upper body and shoulders. Voluntary control of arms and shoulders, legs and neck intact. HX depression. Additional findings: Facial and left arm muscles contracting spontaneously. DX: Dystonic drug reaction. Discontinue Lexapro.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274378&WAYBACKHISTORY=ON


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