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This is VAERS ID 277788

Case Details

VAERS ID: 277788 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: New Jersey  
   Days after vaccination:3
Submitted: 2007-04-11
   Days after onset:2
Entered: 2007-05-02
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Grand mal convulsion, Nuclear magnetic resonance imaging brain normal, Partial seizures, Scan brain
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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Not Known
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: C-scan of brain (neg), MRI of Brain Negative records received 6/5/07-Labs WNL. ANA negative. MRI brain small nonspecific focus of T2 signal abnormality high in left front subcortical white matter. May be post infectious or inflammatory. EEG abnormal due to presence of high voltage sharp activity noted in left parietal and temporarl areas. Indicative of epileptogenic focus in this area. These findings may be seen in a partial seizure disorder.
CDC Split Type: NJ200705

Write-up: 16 year old s/p receiving HPV #2 on 4/6/07. Presented 4/9/07 with possible focal seizure (contracture right hand) sent to ER then admitted with Grand Mal seizure episode that evening. Patient placed on Dilantin discharged home on Dilantin PO. No FMH of seizure episodes. 06/06/07-records received for DOS 4/10-4/11/07-DC DX:Seizures Partial complex. Intermittent periods of right hand pain and shaking. Subsequent period of shaking episode of right hand progressed to generalized tonic clonic shaking of arms and legs associated with loss of consciousness and post ictal period. Received HPV vaccine 3 days before.

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