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This is VAERS ID 280089

Case Details

VAERS ID: 280089 (history)  
Age: 18.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-05-31
Onset:2007-05-31
   Days after vaccination:0
Submitted: 2007-05-31
   Days after onset:0
Entered: 2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Fall, Nausea
SMQs:, Acute pancreatitis (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Approx 5 min after vacc adm. Pt was stopped at check out, seizure type movement noted as pt fell to floor. Fall somewhat blocked by another pt standing near. Pt with nausea, no vomiting. Pt alert/talking few min after episode. BP 84/52 P-48 Pt to Urgent Care Ctr in Stable condition.


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