National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283795

Case Details

VAERS ID: 283795 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2007-02-05
Onset:2007-02-19
   Days after vaccination:14
Submitted: 2007-06-14
   Days after onset:114
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Corrective lens user, Vision blurred, Visual acuity tests abnormal
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: DEPO-PROVERA 0
Current Illness:
Preexisting Conditions: ASTHMA
Allergies:
Diagnostic Lab Data: visual acuity test, 02/19?/07, negative 600; visual acuity test, 05?/??/07, negative 700
CDC Split Type: WAES0705USA01751

Write-up: Information has been received from a health professional concerning a 24 year old female who on 05-FEB-2007 was vaccinated with Gardasil. Concomitant therapy included DEPO-PROVERA. On approximately 19-FEB-2007 the patient experienced blurry vision. The patient''s vision "was negative 600 and is now negative 700." The nurse practitioner reported that Gardasil would not be reintroduced. Additional information has been requested. This is in follow-up to reports previously submitted on 06/14/2007. Initial and follow-u information has been received from a health professional concerning a 24 year old female with a history of and no illness at the time of vaccination who on 05-FEB-2007 was vaccinated at 16:20 in the right arm with a first dose of GARDASIL (lot # 655619/1427F). Concomitant vaccinations included a fifth dose of DEPO-PROVERA (Lot # 06P601) in the left arm. On approximately 19-FEB-2007 the patient experienced blurry vision in the left eye even with contacts and glasses. The patient saw an eye doctor and her vision for the past two years was negative 600 and is now negative 700. The nurse practioner reported that GARDASIL would not be reintroduced. At the time of this report, the patient had not recovered. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283795


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166