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This is VAERS ID 284869

Case Details

VAERS ID: 284869 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-07-13
Onset:2007-07-13
   Days after vaccination:0
Submitted: 2007-07-16
   Days after onset:3
Entered: 2007-07-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 02504 / 2 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523Y / 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2324AA / 1 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram normal, Disorientation, Feeling abnormal, Foaming at mouth, Full blood count normal, Grand mal convulsion, Hyperventilation, Laboratory test normal, Staring
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: None
Preexisting Conditions: records received 7/19/07-HX of anxious spells starting in May occurring monthly similar to ones that increased prior to generalized tonic clonic seizure.
Allergies:
Diagnostic Lab Data: CT NL; Chem 7 NL; CBC NL records received 7/19/07-MRI negative. CT negative. WBC 13.8, poly 82. Glucose 125. urine culture negative
CDC Split Type:

Write-up: Menactra, Gardasil, Hep A (Vaqta) given 7/13/07. Left here, shortly after felt disjointed and blank stares. At approx 2250 came home found to have tonic-clonic approx 45 sec sz with heavy breathing and frothy. 911 called admitted x 2 nights. 7/19/07-records received: Seizure likely secondary to vasovagal reaction. After vaccine felt a bit disjointed and had a somewhat blank stare. Clonic movements, snorting and grunting, frothing at mouth. Travel to Caribbean 2 weeks prior. Headache. Neuro exam WNL. Assessment:Generalized tonic clonic seizure status post vaccines. Most likely a reaction of one of the vaccines.


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