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This is VAERS ID 283647

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283647
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-06-06
Onset:2007-06-06
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Grand mal convulsion, Urinary incontinence

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
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 healthcare professional concerning a 26 year old female who received a first dose of Gardasil (lot # 657005/0314U) IM into the left deltoid on 06-Jun-2007. Five minutes later she felt lightheaded and experienced a toni"c-clonic seizure and urinary incontinence that lasted 1-2 minutes in duration. She was awake, alert and oriented X 3 post event. Upon internal review tonic clonic seizure was considered to be an other important medical event. Additional information has be


Changed on 12/8/2009

VAERS ID: 283647 Before After
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-06-06
Onset:2007-06-06
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Grand mal convulsion, Urinary incontinence

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
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) WAES0706USA05185

Write-up:Information has been received from a healthcare professional concerning a 26 year old female who received a first dose of Gardasil (lot # 657005/0314U) IM into the left deltoid on 06-Jun-2007. Five minutes later she felt lightheaded and experienced a toni"c-clonic tonic-clonic seizure and urinary incontinence that lasted 1-2 minutes in duration. She was awake, alert and oriented X 3 post event. Upon internal review tonic clonic seizure was considered to be an other important medical event. Additional information has be been requested.


Changed on 6/14/2014

VAERS ID: 283647 Before After
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-06-06
Onset:2007-06-06
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Grand mal convulsion, Urinary incontinence

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA05185

Write-up:Information has been received from a healthcare professional concerning a 26 year old female who received a first dose of Gardasil (lot # 657005/0314U) IM into the left deltoid on 06-Jun-2007. Five minutes later she felt lightheaded and experienced a tonic-clonic seizure and urinary incontinence that lasted 1-2 minutes in duration. She was awake, alert and oriented X 3 post event. Upon internal review tonic clonic seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 283647 Before After
Age:26.0
Gender:Female
Location:Maryland
Vaccinated:2007-06-06
Onset:2007-06-06
Submitted:2007-07-02
Entered:2007-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0314U / 0 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Grand mal convulsion, Urinary incontinence

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA05185

Write-up:Information has been received from a healthcare professional concerning a 26 year old female who received a first dose of Gardasil (lot # 657005/0314U) IM into the left deltoid on 06-Jun-2007. Five minutes later she felt lightheaded and experienced a tonic-clonic seizure and urinary incontinence that lasted 1-2 minutes in duration. She was awake, alert and oriented X 3 post event. Upon internal review tonic clonic seizure was considered to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283647&WAYBACKHISTORY=ON


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