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This is VAERS ID 299825

Case Details

VAERS ID: 299825 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: New York  
   Days after vaccination:1
Submitted: 2007-11-14
   Days after onset:23
Entered: 2007-11-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma. NKDA.
Diagnostic Lab Data: A magnetic resonance imaging (MRI) was performed, results not reported. Labs and Diagnostics: LP (-), CT WNL, MRI WNL, blood tests all WNL (done at previous ER visit). Urine Tox screen (-).
CDC Split Type: WAES0710USA07046

Write-up: Information has been received from a physician concerning a 15 year old female who on an unspecified date was vaccinated with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). In October 2007, "about a week ago", the patient was vaccinated with a second doses of HPV rL1 6 11 16 18 VLP vaccine (yeast) 0.5 ml IM. Concomitant therapy included influenza virus vaccine (unspecified) also given on the same date in October 2007. In October 2007, about 24 hours after being vaccinated, the patient developed a headache, dizziness, and vomiting and was hospitalized. At the time of reporting, the patient had not recovered. The physician felt that the events were disabling. Additional information has been requested. 03/03/2008 MR received for DOS 11/8-11/2007 with DX: Headache Disorder, Intractable Migraine. Pt presented with 2 1/2 week hx of throbbing headache in the forehead, bitemporal, and occipital areas which began 1 day s/p flu and Gardasil vax. H/A associated with nausea, dizziness, light and noise sensitivity. Occasionally wakes from sleep with pain. Previous ER visit with normal diagnostics. PE WNL.

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