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This is VAERS ID 281538

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

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

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Convulsion disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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 a"ttention 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.


Changed on 12/8/2009

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

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Convulsion disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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 a"ttention 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.


Changed on 6/14/2014

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

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Convulsion disorder
Allergies:
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.


Changed on 5/14/2017

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

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Convulsion disorder
Allergies:
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.


Changed on 9/14/2017

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

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Convulsion disorder
Allergies:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281538&WAYBACKHISTORY=ON


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