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This is VAERS ID 275708

Case Details

VAERS ID: 275708 (history)  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-22
Onset:2007-03-22
   Days after vaccination:0
Submitted: 2007-04-05
   Days after onset:14
Entered: 2007-04-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Convulsion, Emergency care examination, Injection site irritation, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA04990

Write-up: Information has been received from a certified nurses aid concerning a 19 year old female who on 22-MAR-2007 was vaccinated with the first dose of GARDASIL. Concomitant medication was reported as none. On 22-MAR-2007, the patient experienced burning feeling at the injection site, the patient passed out and had a seizure for about 10 minutes. An ambulance was called and the patient was rushed to the emergency room. The outcome and causality of the events were not reported. Burning feeling at the injection site, passed out and seizure were considered to be other important medical events. Additional information has been requested.


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