National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284038

Case Details

VAERS ID: 284038 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:18
Submitted: 2007-07-08
   Days after onset:7
Entered: 2007-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Military       Purchased by: Military
Symptoms: Blood test, Choking, Convulsion, Culture urine, Decreased appetite, Dizziness, Eye disorder, Fatigue, Headache, Muscle contractions involuntary, Muscle rigidity, Nausea, Pharyngolaryngeal pain, Pyrexia, Respiratory arrest, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dystonia (broad), Parkinson-like events (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Corneal disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: none other than gardasil~ ()~~0.00~Patient
Other Medications: Vicodin for unrelated arm injury
Current Illness: none
Preexisting Conditions: thoracic outlet syndrome of left arm PMH: Thoracic Outlet Obstruction. Allergies: Codeine and Naprosyn.
Diagnostic Lab Data: CAT scan, MRI/MRA, EEG, Blood work, urine tests, strep test. Labs and Diagnostics: Brain CT (-). CBC unremarkable. MRAs unremarkable. MRI-no intracranial abnormalities. R shoulder X-ray WNL. EEG normal. Throat swab (-) for strep. West Nile Virus IgG and IgM (-). Lyme screen (-).
CDC Split Type:

Write-up: My daughter received her first dose of Gardasil on April 19, 2007 she felt feverish minutes after and developed a sore throat the same day. The next day she complained of a headache and contined to complain of headaches for the next 2 months. Also my daughter had a large decrease in appetite, dizziness, nausea and fatigue that she had never felt before. On June 13, 2007 my daughter had the second dose of Gardasil. She again felt feverish, tired and complained of a sore throat once again. The headaches increased within a few days of the second shot. She also told me she felt "slower" than normal and that she had to think about things before doing them, like typing and using her cell phone. On July 1, 2007 my daughter said she had a "horrible" headache, with in 15 minutes of saying this she fainted and stopped breathing. I had to give her mouth to mouth to get her breathing again. My daughter then had 2 back to back seizures. Her entire body became rigid with her hands and arms raising and all her muscles contracting. Her eyes seem to pop out of her head. She began to choke and was unable to breath. I again gave her a breath of air and she then began to vomit and a few minutes later she came to. An ambulance took her to the hospital where a cat scan, MRI/MRA and EEG tests were negative. Blood work showed a slightly raised potassium level and small amounts of Vicodin (last dose taken 3 days before seizure) which she was taking for an unrelated arm injury. Urine tests were also normal and a strep test was negative. There is no family history or seizures and my daughter was healthy until she received the Gardasil shots. 07/16/2007 MR received for o/n hospital stay 7/1/2007 for c/o generalized tonoclonic seizure activity seen after pt fell to floor. Pt c/o post-ictal H/A as well as H/A prior to seizure. PE WNL. Neuro consult with Impression of new Onset Seizure Disorder, etiology not clear.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166