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This is VAERS ID 284858

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284858
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-16
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 13 year old female, with no seizure history or family seizure history, who on an unspecified date was vaccinated with a second dose of Gardasil on an unspecified date. Subsequently, on an unspeci"fied date, the patient experienced a seizure in gym class. The patient was taken to the hospital. The seizure occurred at a /"period of time/" after the 2nd vaccination. The patient was placed on seizure medication which is controlling the seizures. The p


Changed on 12/8/2009

284858 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-16
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0707USA01524

Write-up:Information has been received from a physician concerning a 13 year old female, with no seizure history or family seizure history, who on an unspecified date was vaccinated with a second dose of Gardasil on an unspecified date. Subsequently, on an unspeci"fied unspecified date, the patient experienced a seizure in gym class. The patient was taken to the hospital. The seizure occurred at a /"period "period of time/" time" after the 2nd vaccination. The patient was placed on seizure medication which is controlling the seizures. The p patient recovered. The patient has not had any other seizures since the first seizure. The patient was then vaccinated with a third dose of Gardasil without any problems. Upon internal review, seizures was considered to be an other important medical event. Additional information has been requested.


Changed on 9/14/2017

284858 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-07-16
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707USA01524

Write-up:Information has been received from a physician concerning a 13 year old female, with no seizure history or family seizure history, who on an unspecified date was vaccinated with a second dose of Gardasil on an unspecified date. Subsequently, on an unspecified date, the patient experienced a seizure in gym class. The patient was taken to the hospital. The seizure occurred at a "period of time" after the 2nd vaccination. The patient was placed on seizure medication which is controlling the seizures. The patient recovered. The patient has not had any other seizures since the first seizure. The patient was then vaccinated with a third dose of Gardasil without any problems. Upon internal review, seizures 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=284858&WAYBACKHISTORY=ON


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