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This is VAERS ID 282371

Case Details

VAERS ID: 282371 (history)  
Age: 26.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-06-06
Onset:2007-06-06
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:13
Entered: 2007-06-20
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Convulsion, Immediate post-injection reaction
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: (therapy unspecified), hormonal contraceptives
Current Illness: Crohn''s disease
Preexisting Conditions: Passed out
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA02196

Write-up: Information has been received from a physician, via a company representative, concerning a 26 year old female patient with Crohn''s disease and a history of "passing out" when blood is drawn, who on 06-JUN-2007 was vaccinated with the first dose of Gardasil (Lot # not provided). Concomitant therapy included unspecified medication for Crohn''s disease and hormonal contraceptives (unspecified). On 06-JUN-2007, "within 5 minutes" after she had received the vaccination, the patient had a seizure. The physician then confirmed that the patient was completely "lucid" and conscious, and was oriented to the time, the date and her name, however it was not specified whether the patient had recovered from the event. The physician, "does not believe" the seizure was related to therapy with Gardasil. The patient sought unspecified medical attention. Upon internal review, had a seizure was considered to be serious as an other important medical event. Additional information has been requested.


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