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This is VAERS ID 297062

Case Details

VAERS ID: 297062 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: New York  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-11-15
Entered: 2007-11-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Craniotomy, Haemorrhagic arteriovenous malformation, Nuclear magnetic resonance imaging
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Congenital, familial and genetic disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: magnetic resonance - Result not available
CDC Split Type: WAES0711USA02181

Write-up: Information has been received from a Registered Nurse concerning a 14 year old female patient who was vaccinated IM with a third dose of Gardasil. The nurse reported that 2 months after the vaccination patient was diagnosed with a bleeding arteriovenous malformation. It was reported that patient was hospitalized (date and duration not reported) and had a craniotomy. The patient had a magnetic resonance imaging (MRI) diagnostic test done but no result was available. No other information was available. The outcome was unknown. The reporter considered the event as disabling and life threatening. The reporter felt that patient having arteriovenous malformation was a serious other medical event because it required craniotomy. Additional information has been requested.


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