| Days after vaccination:||4
| Days after onset:||6
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0011U / 1
||LA / IM
Administered by: Private Purchased by: Private
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypoglycaemia (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? No
Previous Vaccinations: Same symptoms~HPV (Gardasil)~1~19.20~In Patient
Other Medications: Seasonal (OCP),Novalog 1unit/20 gm carbs, Lantus 9 units @ HS, Zoloft 100mg.
Current Illness: Had been diag with Shingles on 3-5-07. Felt well at time of vaccination. T 98.0
Preexisting Conditions: IDDM onset 6-2005, Celiac Disease onset 7-06
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Patient awoke during night with shakiness, headache, and vomited x''s one 3 days after vaccination with second dose of Gardasil. Episode lasted approx one hour. Pt has IDDM, BS normal at that time. Same occurred after dose #1 which was reported as separate event.