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This is VAERS ID 276314

Case Details

VAERS ID: 276314 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Mississippi  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Convulsion
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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Migraine
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA00624

Write-up: Information has been received from a nurse practitioner concerning an approximately 16 year old female who was seen in a clinic for a migraine, and subsequently, was vaccinated IM with the first dose of GARDASIL. It was reported that the patient developed seizures within 15-20 minutes of vaccination. The clinic called 911, and the nurse practitioner "believed" the patient was taken to the emergency room, although, it was unknown if the patient was hospitalized. It was also reported that the patient had no prior history of seizures, and that the patient''s outcome was unknown. 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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