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This is VAERS ID 279191

Case Details

VAERS ID: 279191 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-11-01
Onset:2006-11-01
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:193
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Balance disorder, Computerised tomogram, Dizziness, Headache, Nausea, Nuclear magnetic resonance imaging, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: allergenic extract, hormonal contraceptives
Current Illness: Environmental allergy; Migraine
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: computed axial - Results unknown magnetic resonance - Results unknown
CDC Split Type: WAES0704USA01772

Write-up: Information has been received from a health professional concerning a 24 year old female patient with environmental allergy and migraine syndrome who in November 2006, was vaccinated with a first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified) and allergenic extract. In November 2006, the patient developed episodes of headache and dizziness after receiving the first injection. The episodes lasted 10 minutes and reoccurred 1-2 times per week for unknown number of weeks. In December 2006, the patient was vaccinated with the second dose of Gardasil and then she experienced severe dizziness, nausea, vomiting lasting one week. Since the end of December 2006, the patient had experienced episodes of intermittent imbalance with increasing frequency. The patient had medical evaluation with blood studies, computed axial tomography (CT) scan and magnetic resonance imaging (MRI) of brain. Results of the testing was unknown. The patient has not recovered. Additional information has been requested.


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