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This is VAERS ID 293736

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 293736
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office"complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was r


Changed on 12/8/2009

VAERS ID: 293736 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Electroencephalogram normal, Haemorrhage intracranial, Headache, Hydrocephalus, Intraventricular haemorrhage, Nausea, Neck pain, Subarachnoid haemorrhage, Surgery, Vomiting, Oesophagram, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown 11/9/07-records received-CT evidence of intraventricular bleed in frontal horns of lateral vetricles bilaterally with clot extending to foreman no monro bilaterally with evidence of hydrocephalus dilated lateral ventricles bilatera
CDC 'Split Type': (blank) WAES0710USA02452

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office"complaining office complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was r recovering. The patient''s aneurysm and intracranial bleeding were considered disabling, immediately life-threatening, and other important medical events. Additional information has been requested. 11/09/07-records received for DOS 10/6/07-seen in ED of transfering facility-Acute 4 hour onset o occipital headache, constant crescendo-decresendo. Nausea vomiting, Headache exacerbated with movement of head, radiating to neck. Awake, alert, oriented X3. 12/06/07-records received from receiving facility for DOS 10/09-10/31/07-DC DX:SAH/IVH secondary to right paravermian/posterior fossa AVM. Procedure:angio cerebral artery-and suboccipital craniectomy, resection of tumor, surgical resection placement of VP shunt. Transferred to rehabilitation facility


Changed on 8/31/2010

VAERS ID: 293736 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Electroencephalogram normal, Haemorrhage intracranial, Headache, Hydrocephalus, Intraventricular haemorrhage, Nausea, Neck pain, Subarachnoid haemorrhage, Surgery, Vomiting, Oesophagram, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown 11/9/07-records received-CT evidence of intraventricular bleed in frontal horns of lateral vetricles bilaterally with clot extending to foreman no monro bilaterally with evidence of hydrocephalus dilated lateral ventricles bilatera
CDC 'Split Type': WAES0710USA02452

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was recovering. The patient''s aneurysm and intracranial bleeding were considered disabling, immediately life-threatening, and other important medical events. Additional information has been requested. 11/09/07-records received for DOS 10/6/07-seen in ED of transfering facility-Acute 4 hour onset o occipital headache, constant crescendo-decresendo. Nausea vomiting, Headache exacerbated with movement of head, radiating to neck. Awake, alert, oriented X3. 12/06/07-records received from receiving facility for DOS 10/09-10/31/07-DC DX:SAH/IVH secondary to right paravermian/posterior fossa AVM. Procedure:angio cerebral artery-and suboccipital craniectomy, resection of tumor, surgical resection placement of VP shunt. Transferred to rehabilitation facility


Changed on 4/13/2011

VAERS ID: 293736 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Electroencephalogram normal, Haemorrhage intracranial, Headache, Hydrocephalus, Intraventricular haemorrhage, Nausea, Neck pain, Subarachnoid haemorrhage, Surgery, Vomiting, Oesophagram, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown 11/9/07-records received-CT evidence of intraventricular bleed in frontal horns of lateral vetricles bilaterally with clot extending to foreman no monro bilaterally with evidence of hydrocephalus dilated lateral ventricles bilatera
CDC 'Split Type': WAES0710USA02452

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was recovering. The patient''s aneurysm and intracranial bleeding were considered disabling, immediately life-threatening, and other important medical events. Additional information has been requested. 11/09/07-records received for DOS 10/6/07-seen in ED of transfering facility-Acute 4 hour onset o occipital headache, constant crescendo-decresendo. Nausea vomiting, Headache exacerbated with movement of head, radiating to neck. Awake, alert, oriented X3. 12/06/07-records received from receiving facility for DOS 10/09-10/31/07-DC DX:SAH/IVH secondary to right paravermian/posterior fossa AVM. Procedure:angio cerebral artery-and suboccipital craniectomy, resection of tumor, surgical resection placement of VP shunt. Transferred to rehabilitation facility


Changed on 5/13/2011

VAERS ID: 293736 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Electroencephalogram normal, Haemorrhage intracranial, Headache, Hydrocephalus, Intraventricular haemorrhage, Nausea, Neck pain, Subarachnoid haemorrhage, Surgery, Vomiting, Oesophagram, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown 11/9/07-records received-CT evidence of intraventricular bleed in frontal horns of lateral vetricles bilaterally with clot extending to foreman no monro bilaterally with evidence of hydrocephalus dilated lateral ventricles bilatera
CDC 'Split Type': WAES0710USA02452

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was recovering. The patient''s aneurysm and intracranial bleeding were considered disabling, immediately life-threatening, and other important medical events. Additional information has been requested. 11/09/07-records received for DOS 10/6/07-seen in ED of transfering facility-Acute 4 hour onset o occipital headache, constant crescendo-decresendo. Nausea vomiting, Headache exacerbated with movement of head, radiating to neck. Awake, alert, oriented X3. 12/06/07-records received from receiving facility for DOS 10/09-10/31/07-DC DX:SAH/IVH secondary to right paravermian/posterior fossa AVM. Procedure:angio cerebral artery-and suboccipital craniectomy, resection of tumor, surgical resection placement of VP shunt. Transferred to rehabilitation facility


Changed on 6/11/2011

VAERS ID: 293736 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Electroencephalogram normal, Haemorrhage intracranial, Headache, Hydrocephalus, Intraventricular haemorrhage, Nausea, Neck pain, Subarachnoid haemorrhage, Surgery, Vomiting, Oesophagram, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown 11/9/07-records received-CT evidence of intraventricular bleed in frontal horns of lateral vetricles bilaterally with clot extending to foreman no monro bilaterally with evidence of hydrocephalus dilated lateral ventricles bilatera
CDC 'Split Type': WAES0710USA02452

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was recovering. The patient''s aneurysm and intracranial bleeding were considered disabling, immediately life-threatening, and other important medical events. Additional information has been requested. 11/09/07-records received for DOS 10/6/07-seen in ED of transfering facility-Acute 4 hour onset o occipital headache, constant crescendo-decresendo. Nausea vomiting, Headache exacerbated with movement of head, radiating to neck. Awake, alert, oriented X3. 12/06/07-records received from receiving facility for DOS 10/09-10/31/07-DC DX:SAH/IVH secondary to right paravermian/posterior fossa AVM. Procedure:angio cerebral artery-and suboccipital craniectomy, resection of tumor, surgical resection placement of VP shunt. Transferred to rehabilitation facility


Changed on 4/14/2017

VAERS ID: 293736 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2007-10-04
Onset:2007-10-06
Submitted:2007-10-18
Entered:2007-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Aneurysm, Arteriovenous malformation, Computerised tomogram abnormal, Dysphagia, Electroencephalogram normal, Haemorrhage intracranial, Headache, Hydrocephalus, Intraventricular haemorrhage, Nausea, Neck pain, Subarachnoid haemorrhage, Surgery, Vomiting, Oesophagram, Arteriovenous shunt operation

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 21     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown 11/9/07-records received-CT evidence of intraventricular bleed in frontal horns of lateral vetricles bilaterally with clot extending to foreman no monro bilaterally with evidence of hydrocephalus dilated lateral ventricles bilatera bilaterally. evidence of bleed in third ventricle and fourth ventricle evidence of probable subarachnoid hemorrhage in basal cisterns and sylvian cisterns bilaterally. 12/06/07-records received- PEG placement for failed swallow study. VEEG negative for seizures.
CDC 'Split Type': WAES0710USA02452

Write-up:Information has been received from a physician concerning a 13 year old female with no relevant medical history reported who on 04-OCT-2007 was vaccinated with the first dose Gardasil (lot 656049/0187U). On 06-OCT-2007, the patient was seen at the office complaining of severe headache and vomiting. The patient was transferred to the hospital by ambulance and was admitted. A diagnosis of cranial bleeding due to an aneurysm was made. The patient underwent surgery. At the time of reporting, the patient was recovering. The patient''s aneurysm and intracranial bleeding were considered disabling, immediately life-threatening, and other important medical events. Additional information has been requested. 11/09/07-records received for DOS 10/6/07-seen in ED of transfering facility-Acute 4 hour onset o occipital headache, constant crescendo-decresendo. Nausea vomiting, Headache exacerbated with movement of head, radiating to neck. Awake, alert, oriented X3. 12/06/07-records received from receiving facility for DOS 10/09-10/31/07-DC DX:SAH/IVH secondary to right paravermian/posterior fossa AVM. Procedure:angio cerebral artery-and suboccipital craniectomy, resection of tumor, surgical resection placement of VP shunt. Transferred to rehabilitation facility


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