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This is VAERS ID 282217

Case Details

VAERS ID: 282217 (history)  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-06-07
Onset:2007-06-07
   Days after vaccination:0
Submitted: 2007-06-18
   Days after onset:11
Entered: 2007-06-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Convulsion, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA02134

Write-up: Information has been received from a nurse practitioner concerning a 16 year old female who on 07-JUN-2007 was vaccinated with Gardasil. The nurse practitioner reported that the patient fainted 45 minutes after receiving Gardasil. The nurse practitioner also reported that the "mother thought she was having a seizure". Medical attention was sought. The outcome of the adverse event is unknown. no further information was provided. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.


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