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This is VAERS ID 281378

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281378
Age:15.0
Gender:Female
Location:Virginia
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-11
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Grand mal convulsion, Lethargy, Syncope vasovagal, Oxygen supplementation

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

Write-up:Information has been received from a physician concerning his 15 year old niece, with no known drug allergies and no history of seizures, who on 01-JUN-2007 was vaccinated with Gardasil (lot # 656051/0244U). There was no concomitant medication. On 01-JUN-"2007, within 2 to 3 seconds of receiving the first dose of Gardasil, the patient had a vasovagal reaction and sought unspecified medical attention. No laboratory/diagnostic tests were performed. The fainting lasted for 1 to 2 minutes and then she had a to


Changed on 12/8/2009

VAERS ID: 281378 Before After
Age:15.0
Gender:Female
Location:Virginia
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-11
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Grand mal convulsion, Lethargy, Syncope vasovagal, Oxygen supplementation

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: Absence seizure
Diagnostic Lab Data: none
CDC 'Split Type': (blank) WAES0706USA00635

Write-up:Information has been received from a physician concerning his 15 year old niece, with no known drug allergies and no history of seizures, who on 01-JUN-2007 was vaccinated with Gardasil (lot # 656051/0244U). There was no concomitant medication. On 01-JUN-"2007, 01-JUN-2007, within 2 to 3 seconds of receiving the first dose of Gardasil, the patient had a vasovagal reaction and sought unspecified medical attention. No laboratory/diagnostic tests were performed. The fainting lasted for 1 to 2 minutes and then she had a tonic clonic seizure that lasted 4 to 5 seconds. The patient was lethargic for about 1/2 hour. The patient was given oxygen and pulse ox. On 01-JUN-2007, the patient recovered from vasovagal reaction and tonic clonic seizure. The physician considered one or more of the events to be disabling and/or an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281378&WAYBACKHISTORY=ON


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