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This is VAERS ID 284353

Case Details

VAERS ID: 284353 (history)  
Form: Version 1.0  
Gender: Female  
Location: Pennsylvania  
Submitted: 2007-07-10
Entered: 2007-07-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Cyanosis, Dizziness, Grand mal convulsion, Loss of consciousness, Myalgia, Respiratory arrest, Trismus, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Dystonia (narrow), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Lens disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA00854

Write-up: Information has been received from a physician who received a fax from a patient, concerning a female patient who on an unspecified date was vaccinated with Gardasil. Subsequently, following vaccination, the patient became dizzy, her "muscles were heavy", and she lost focus. It was reported that a nurse sat the patient down, however sitting down did not make the symptoms any better. The physician then came into the room and gave the patient a shot of Benadryl. After receiving the Benadryl the patient was placed in another room for a short time. After a couple of minutes, the nurse went back into the room to take the patient''s blood pressure and found the patient having a grand mal seizure. The physician again entered the room and found the patient unconscious, not breathing, and her jaw was clamped and her lips were blue. The patient was subsequently hospitalized. At the time of this report, the outcome of the events was unknown. Additional information has been requested.

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