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This is VAERS ID 276530

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276530
Age:14.0
Gender:Female
Location:Georgia
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-04-16
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Fall

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

Write-up:Information has been received from a Certified Medical Assistant (C.M.A.) concerning a 14 year old female patient who on 23-FEB-2007 was vaccinated IM with 0.5 mL of Gardasil. On 23-FEB-2007 the patient fell to floor in a seizure like state. After 30 seco"nds she became conscious. Patient never had a seizure like episode before this incident. Unspecified medical attention was sought by the patient. The patient recovered the same day. Upon internal review, seizure was considered to be an other important med


Changed on 12/8/2009

VAERS ID: 276530 Before After
Age:14.0
Gender:Female
Location:Georgia
Vaccinated:2007-02-23
Onset:2007-02-23
Submitted:2007-04-16
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Fall

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA01566

Write-up:Information has been received from a Certified Medical Assistant (C.M.A.) concerning a 14 year old female patient who on 23-FEB-2007 was vaccinated IM with 0.5 mL of Gardasil. On 23-FEB-2007 the patient fell to floor in a seizure like state. After 30 seco"nds seconds she became conscious. Patient never had a seizure like episode before this incident. Unspecified medical attention was sought by the patient. The patient recovered the same day. Upon internal review, seizure was considered to be an other important med medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276530&WAYBACKHISTORY=ON


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