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This is VAERS ID 275704

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275704
VAERS Form:
Age:24.0
Gender:Female
Location:Florida
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-04-05
Entered:2007-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram, Convulsion, Fatigue, Emergency care examination, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC-D; AMBIEN CR; ALEVE
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: computed axial 03/13/07 - results not reported; diagnostic laboratory 03/13?/07 - results not reported
CDC 'Split Type':

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 the"rapy 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 reporte


Changed on 12/8/2009

275704 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Florida
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-04-05
Entered:2007-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / - UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Computerised tomogram, Convulsion, Fatigue, Neurological examination, Emergency care examination, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC-D; AMBIEN CR; ALEVE
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: computed axial 03/13/07 - results not reported; diagnostic laboratory 03/13?/07 - results not reported
CDC 'Split Type': (blank) 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 GARDASIL (lot #657006/0188U). Concomitant the"rapy 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 reporte 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.


Changed on 9/14/2017

275704 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Florida
Vaccinated:2007-03-13
Onset:2007-03-13
Submitted:2007-04-05
Entered:2007-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram, Convulsion, Fatigue, Neurological examination, Emergency care examination, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC-D; AMBIEN CR; ALEVE
Current Illness:
Preexisting Conditions: None
Allergies:
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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