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This is VAERS ID 283646

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283646
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Eye rolling, Loss of consciousness, Poor quality drug administered

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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 17 year old female who was vaccinated with the third dose of Gardasil on an unspecified date. It was reported that the patient experienced seizure like activity after receiving the vaccine. Her eyes"rolled back in her head and briefly lost consciousness. The patient sought unspecified medical attention. She recovered 40 minutes after injection. The nurse also reported that the refrigerator where the vaccine was stored was /"4 degrees colder than it s


Changed on 12/8/2009

VAERS ID: 283646 Before After
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Eye rolling, Loss of consciousness, Poor quality drug administered

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: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA05087

Write-up:Information has been received from a nurse concerning a 17 year old female who was vaccinated with the third dose of Gardasil on an unspecified date. It was reported that the patient experienced seizure like activity after receiving the vaccine. Her eyes"rolled eyes rolled back in her head and briefly lost consciousness. The patient sought unspecified medical attention. She recovered 40 minutes after injection. The nurse also reported that the refrigerator where the vaccine was stored was /"4 "4 degrees colder than it s should have been". Upon internal review, seizure-like activity was considered to be an other important medical event. This report is one of two reports from the same source. Additional information has been requested.


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