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This is VAERS ID 297531

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 297531
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-09-01
Onset:2007-09-01
Submitted:2007-11-20
Entered:2007-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Disturbance in attention, Dysgeusia, Fall, Grand mal convulsion, Headache

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a pharmacist concerning his 15 year old daughter who in September 2007 was vaccinated with Gardasil. Concomitant therapy included meningococcal vaccine (unspecified). A couple minutes after getting the vaccination, the p"atient suffered a grand mal seizure and fell on the ground in the office. She recovered from the grand mal seizure and was sent home. The pharmacist''''s wife reported that a couple weeks after the vaccination, her daughter could not focus and would forget


Changed on 12/8/2009

VAERS ID: 297531 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-09-01
Onset:2007-09-01
Submitted:2007-11-20
Entered:2007-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amnesia, Blood urine, Confusional state, Conversion disorder, Disorientation, Disturbance in attention, Dysgeusia, Educational problem, Electroencephalogram normal, Encephalopathy, Fall, Fatigue, Grand mal convulsion, Headache, Hypoaesthesia, Memory impairment, Mental impairment, Myalgia, Nausea, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Personality change, Staring, Urinary tract infection, Vaccination complication, Vision blurred, Visual impairment, Postictal state, Mini mental status examination abnormal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Unknown. PMH: pneumonia as infant
Diagnostic Lab Data: Labs and diagnostics: MMSE (+) for missing 2 orientation questions and 3 recall questions. Brain MRI (+) for cerebellar tonsillar ectopia. ? Chiari malformation. MRI pituitary WNL. EEG WNL.
CDC 'Split Type': (blank) WAES0711USA03218

Write-up:Information has been received from a pharmacist concerning his 15 year old daughter who in September 2007 was vaccinated with Gardasil. Concomitant therapy included meningococcal vaccine (unspecified). A couple minutes after getting the vaccination, the p"atient patient suffered a grand mal seizure and fell on the ground in the office. She recovered from the grand mal seizure and was sent home. The pharmacist''''s pharmacist''s wife reported that a couple weeks after the vaccination, her daughter could not focus and would forget things. The symptoms caused problems in school, and her grades dropped. It was also reported that the patient had bad headaches, a lack of concentration, a change in personality, nausea and tasted blood in her mouth. In the last two weeks, the symptoms worsened. The patient is having daily headaches and petit mal seizures. She is going to be seen by a neurologist. At the time of this report, the symptoms persisted. The pharmacist considered his daughter''s symptoms to be disabling. Additional information has been requested. 3/24/2009 MR received from CDC. Case re-opened. Neuro consult 11/26/07 with dx: post vaccination encephalopathy. Pt may be having absence seizures. Generalized seizure after injection. Pt is intellectually impaired at this time. Per MR, pt had a tonic-clonic seizure a few minutes s/p Gardasil vax in 9/2007. Post-ictal and sore afterwards. since that time pt has had recurring staring spells, memory loss, dramatic drop in school grades (As to Fs), constant fatigue and confusion. Pt reports some visual disturbance of the L eye, H/As, occasional numbness of the hands and sphincter control issues. Currently being tx for UTI 2'' to blood in the urine. Not fully oriented on exam. PE WNL. 3/31/09 Additional records received from above neuro which include a neuropsychological eval dated 11/29-12/19/2007 with DX: Conversion D/O. Adverse reaction to HPV vaccine.


Changed on 4/14/2017

VAERS ID: 297531 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-09-01
Onset:2007-09-01
Submitted:2007-11-20
Entered:2007-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Blood urine, Confusional state, Conversion disorder, Disorientation, Disturbance in attention, Dysgeusia, Educational problem, Electroencephalogram normal, Encephalopathy, Fall, Fatigue, Grand mal convulsion, Headache, Hypoaesthesia, Memory impairment, Mental impairment, Myalgia, Nausea, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Personality change, Staring, Urinary tract infection, Vaccination complication, Vision blurred, Visual impairment, Postictal state, Mini mental status examination abnormal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown. PMH: pneumonia as infant
Diagnostic Lab Data: Labs and diagnostics: MMSE (+) for missing 2 orientation questions and 3 recall questions. Brain MRI (+) for cerebellar tonsillar ectopia. ? Chiari malformation. MRI pituitary WNL. EEG WNL.
CDC 'Split Type': WAES0711USA03218

Write-up:Information has been received from a pharmacist concerning his 15 year old daughter who in September 2007 was vaccinated with Gardasil. Concomitant therapy included meningococcal vaccine (unspecified). A couple minutes after getting the vaccination, the patient suffered a grand mal seizure and fell on the ground in the office. She recovered from the grand mal seizure and was sent home. The pharmacist''s wife reported that a couple weeks after the vaccination, her daughter could not focus and would forget things. The symptoms caused problems in school, and her grades dropped. It was also reported that the patient had bad headaches, a lack of concentration, a change in personality, nausea and tasted blood in her mouth. In the last two weeks, the symptoms worsened. The patient is having daily headaches and petit mal seizures. She is going to be seen by a neurologist. At the time of this report, the symptoms persisted. The pharmacist considered his daughter''s symptoms to be disabling. Additional information has been requested. 3/24/2009 MR received from CDC. Case re-opened. Neuro consult 11/26/07 with dx: post vaccination encephalopathy. Pt may be having absence seizures. Generalized seizure after injection. Pt is intellectually impaired at this time. Per MR, pt had a tonic-clonic seizure a few minutes s/p Gardasil vax in 9/2007. Post-ictal and sore afterwards. since that time pt has had recurring staring spells, memory loss, dramatic drop in school grades (As to Fs), constant fatigue and confusion. Pt reports some visual disturbance of the L eye, H/As, occasional numbness of the hands and sphincter control issues. Currently being tx for UTI 2'' to blood in the urine. Not fully oriented on exam. PE WNL. 3/31/09 Additional records received from above neuro which include a neuropsychological eval dated 11/29-12/19/2007 with DX: Conversion D/O. Adverse reaction to HPV vaccine.


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