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This is VAERS ID 275961

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275961
Age:16.0
Gender:Female
Location:New Jersey
Vaccinated:2007-02-28
Onset:2007-03-18
Submitted:2007-04-10
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B014AA / 5 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Electroencephalogram abnormal, Grand mal convulsion, Headache, Hypoaesthesia, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal
Current Illness: None
Preexisting Conditions: Epilepsy, recurrent headaches
Diagnostic Lab Data: EEG --$g B/L abnormal activity
CDC 'Split Type':

Write-up:22 Days after receiving the above vaccines, she experienced numbness in her right hand and a headache and nausea. The next morning those symptoms were resolved. After being awake for 10 minutes she had a grand mal seizure. Duration 2-3 minutes. Emergency"evaluation revealed a normal exam. PMH - significant for epilepsy. Dx 11/05 on Lamictal last seizure 1/06.


Changed on 12/8/2009

VAERS ID: 275961 Before After
Age:16.0
Gender:Female
Location:New Jersey
Vaccinated:2007-02-28
Onset:2007-03-18
Submitted:2007-04-10
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 - / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B014AA / 5 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Electroencephalogram abnormal, Grand mal convulsion, Headache, Hypoaesthesia, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lamictal
Current Illness: None
Preexisting Conditions: Epilepsy, recurrent headaches
Diagnostic Lab Data: EEG --$g B/L abnormal activity
CDC 'Split Type':

Write-up:22 Days after receiving the above vaccines, she experienced numbness in her right hand and a headache and nausea. The next morning those symptoms were resolved. After being awake for 10 minutes she had a grand mal seizure. Duration 2-3 minutes. Emergency"evaluation Emergency evaluation revealed a normal exam. PMH - significant for epilepsy. Dx 11/05 on Lamictal last seizure 1/06.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275961&WAYBACKHISTORY=ON


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