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This is VAERS ID 276631

Case Details

VAERS ID: 276631 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Washington  
   Days after vaccination:24
Submitted: 2007-04-17
   Days after onset:39
Entered: 2007-04-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01860 / 2 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram, Convulsion, Electroencephalogram normal, Nuclear magnetic resonance imaging
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: Insulin, Synthroid
Current Illness: none
Preexisting Conditions: IDDM, Hypothyroidism x 8yrs
Diagnostic Lab Data: CT/MRI normal, EEG normal
CDC Split Type:

Write-up: Gardasil #1 12/12/06, Gardasil #2 2/12/07 New onset seizures on 3/8/07 and 3/9/07 (non-hypoglycemic0

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