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This is VAERS ID 277102

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277102
VAERS Form:
Age:23.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-20
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Blood calcium decreased, Blood sodium decreased, Computerised tomogram abnormal, Balance disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: High functioning Down''s Syndrome
Allergies:
Diagnostic Lab Data: LABS: CT of head revealed stable old ischemic event involving large portion of left cerebral hemisphere; small vessel ischemic disease on right; bilateral post op changes, craniotomies; no acute changes. WBC 4.0, lymphs 0.9. Na 135, Ca 8.
CDC 'Split Type':

Write-up:Had HPV4 immunization at approx. 6:00pm and at 9:00pm Erin had a seizure. she was taken to the Emergency department and kept overnight. This Am she is still experiencing severe dizziness with loss of balance and headache.


Changed on 12/8/2009

277102 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-20
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Blood calcium decreased, Blood sodium decreased, Computerised tomogram abnormal, Convulsion, Dizziness, Headache, Lymphocyte count decreased, White blood cell count decreased, Balance disorder, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: High functioning Down''s Syndrome CVA 10-12 yrs prior, brain surg x2. moya-moya disease, OSA, ventricle sypass. Downs syndrome
Allergies:
Diagnostic Lab Data: LABS: CT of head revealed stable old ischemic event involving large portion of left cerebral hemisphere; small vessel ischemic disease on right; bilateral post op changes, craniotomies; no acute changes. WBC 4.0, lymphs 0.9. Na 135, Ca 8.
CDC 'Split Type':

Write-up:Had HPV4 immunization at approx. 6:00pm and at 9:00pm Erin had a seizure. she was taken to the Emergency department and kept overnight. This Am she is still experiencing severe dizziness with loss of balance and headache. 5/18/07 Received medical records from ER which reveal patient was at hospital getting ready for sleep study when she had abdominal pain & a witnessed seizure. Loaded w/Pb & referred to PCP. PMH: FINAL DX: new onset seizures.


Changed on 1/7/2013

277102 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-20
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Blood calcium decreased, Blood sodium decreased, Computerised tomogram abnormal, Convulsion, Dizziness, Headache, Lymphocyte count decreased, White blood cell count decreased, Balance disorder, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: High functioning Down''s Syndrome CVA 10-12 yrs prior, brain surg x2. moya-moya disease, OSA, ventricle sypass. Downs syndrome
Allergies:
Diagnostic Lab Data: LABS: CT of head revealed stable old ischemic event involving large portion of left cerebral hemisphere; small vessel ischemic disease on right; bilateral post op changes, craniotomies; no acute changes. WBC 4.0, lymphs 0.9. Na 135, Ca 8. 8.2. UA was WNL.
CDC 'Split Type':

Write-up:Had HPV4 immunization at approx. 6:00pm and at 9:00pm Erin patient had a seizure. she was taken to the Emergency department and kept overnight. This Am she is still experiencing severe dizziness with loss of balance and headache. 5/18/07 Received medical records from ER which reveal patient was at hospital getting ready for sleep study when she had abdominal pain & a witnessed seizure. Loaded w/Pb & referred to PCP. PMH: FINAL DX: new onset seizures.


Changed on 5/14/2017

277102 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-20
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Blood calcium decreased, Blood sodium decreased, Computerised tomogram abnormal, Convulsion, Dizziness, Headache, Lymphocyte count decreased, White blood cell count decreased, Balance disorder, Urine analysis normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: High functioning Down''s Syndrome CVA 10-12 yrs prior, brain surg x2. moya-moya disease, OSA, ventricle sypass. Downs syndrome
Allergies:
Diagnostic Lab Data: LABS: CT of head revealed stable old ischemic event involving large portion of left cerebral hemisphere; small vessel ischemic disease on right; bilateral post op changes, craniotomies; no acute changes. WBC 4.0, lymphs 0.9. Na 135, Ca 8.2. UA was WNL.
CDC 'Split Type':

Write-up:Had HPV4 immunization at approx. 6:00pm and at 9:00pm patient had a seizure. she was taken to the Emergency department and kept overnight. This Am she is still experiencing severe dizziness with loss of balance and headache. 5/18/07 Received medical records from ER which reveal patient was at hospital getting ready for sleep study when she had abdominal pain & a witnessed seizure. Loaded w/Pb & referred to PCP. PMH: FINAL DX: new onset seizures.


Changed on 9/14/2017

277102 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-04-20
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 2 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dizziness, Headache, Balance disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: High functioning Down''s Syndrome CVA 10-12 yrs prior, brain surg x2. moya-moya disease, OSA, ventricle sypass. Downs syndrome
Allergies:
Diagnostic Lab Data: LABS: CT of head revealed stable old ischemic event involving large portion of left cerebral hemisphere; small vessel ischemic disease on right; bilateral post op changes, craniotomies; no acute changes. WBC 4.0, lymphs 0.9. Na 135, Ca 8.2. UA was WNL.
CDC 'Split Type':

Write-up:Had HPV4 immunization at approx. 6:00pm and at 9:00pm patient had a seizure. she was taken to the Emergency department and kept overnight. This Am she is still experiencing severe dizziness with loss of balance and headache. 5/18/07 Received medical records from ER which reveal patient was at hospital getting ready for sleep study when she had abdominal pain & a witnessed seizure. Loaded w/Pb & referred to PCP. PMH: FINAL DX: new onset seizures.


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