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This is VAERS ID 281538

Case Details

VAERS ID: 281538 (history)  
Age: 11.0  
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-12
Entered: 2007-06-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Condition aggravated, Convulsion
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Convulsion disorder
Diagnostic Lab Data:
CDC Split Type: WAES0706USA00328

Write-up: Information has been received from a physician concerning a 11 year old female with a history of convulsion disorder who was vaccinated with Gardasil. It was reported that the patient had a seizure after receiving a dose of Gardasil. Unspecified medical attention was sought. It is not known which dose this was in the series. Lot number was not available. No further information was given. Additional information has been requested.


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