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This is VAERS ID 280107

Case Details

VAERS ID: 280107 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-02-02
Onset:2007-02-12
   Days after vaccination:10
Submitted: 2007-05-31
   Days after onset:107
Entered: 2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Antinuclear antibody negative, Confusional state, Full blood count normal, Headache, Laboratory test, Nervous system disorder, Nuclear magnetic resonance imaging abnormal, Vision blurred
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none present
Preexisting Conditions: Childhood asthma
Allergies:
Diagnostic Lab Data: Normal CBC, Normal ANA, lymes, etc. MRI showed lesion in L frontal lobe.
CDC Split Type:

Write-up: Patient experienced bouts of confusion and blurry vision, headache described as starting over L eye and a "weird feeling" spreads accross the forehead.


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