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This is VAERS ID 275704

Case Details

VAERS ID: 275704 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Florida  
   Days after vaccination:0
Submitted: 2007-04-05
   Days after onset:23
Entered: 2007-04-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram, Convulsion, Emergency care examination, Fatigue, Laboratory test, Neurological examination
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC-D; AMBIEN CR; ALEVE
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: computed axial 03/13/07 - results not reported; diagnostic laboratory 03/13?/07 - results not reported
CDC Split Type: WAES0703USA05514

Write-up: Information has been received from a physician concerning a 24 year old white female with no pertinent medical history who on 13-MAR-2007, at 08:30, was vaccinated, into the right deltoid, with a first dose of GARDASIL (lot #657006/0188U). Concomitant therapy included ZYRTEC-D, AMBIEN CR and ALEVE. On 13-MAR-2007, at approximately 19:00, the patient had a seizure while driving. The patient went to the emergency room and underwent unspecified blood tests and a computed axial tomography (results not reported). On 14-MAR-2007, the patient was too tired to go to work. The patient was advise to follow-up with a neurologist. It was recommended that the remainder of Gardasil series was held until neurologic work up was complete. Upon internal review, the patient''s seizure was considered to be an other important medical event. Additional information has been requested.

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