National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 275899

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275899
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-12
Onset:2007-03-19
Submitted:2007-04-09
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Movement disorder, Tic, Feeding disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: (therapy unspecified), fentanyl, TOPAMAX
Current Illness: Turner''s syndrome; Migraine; Hypertelorism
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female patient with Opitz syndrome (hypertelorism-hypospadias), Turner''''s syndrome and migraines who was on 12-MAR-2007 vaccinated with a first dose of Gardasil, lot #654389/0961F (do"se not reported). Concomitant therapy included TOPAMAX, fentanyl and other /"unknown medications/". On 19-MAR-2007 the patient developed a movement disorder characterized by /"verbal and bodily/" tics. On 20-MAR-2007 patient was hospitalized and treated w


Changed on 12/8/2009

VAERS ID: 275899 Before After
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-12
Onset:2007-03-19
Submitted:2007-04-09
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Movement disorder, Tic, Feeding disorder

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0 (blank)     Extended hospital stay? No
Previous Vaccinations:
Other Medications: (therapy unspecified), fentanyl, TOPAMAX
Current Illness: Turner''s syndrome; Migraine; Hypertelorism
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA00353

Write-up:Information has been received from a physician concerning a 15 year old female patient with Opitz syndrome (hypertelorism-hypospadias), Turner''''s Turner''s syndrome and migraines who was on 12-MAR-2007 vaccinated with a first dose of Gardasil, lot #654389/0961F (do"se (dose not reported). Concomitant therapy included TOPAMAX, fentanyl and other /"unknown medications/". "unknown medications". On 19-MAR-2007 the patient developed a movement disorder characterized by /"verbal "verbal and bodily/" bodily" tics. On 20-MAR-2007 patient was hospitalized and treated w with IV fluids. Unspecified laboratory tests were normal. She was seen by a neurologist who felt her tics were volitional because she could stop them when asked. Another neurologist felt the tics were not volitional because they occurred in her sleep. At the time of this report, the patient had not recovered. The physician considered the events to be disabling since she was unable to feed herself. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275899&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166