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This is VAERS ID 299825

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

299825
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-10-21
Onset:2007-10-22
Submitted:2007-11-14
Entered:2007-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 02502AA / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache, Lumbar puncture normal, Migraine, Nausea, Nuclear magnetic resonance imaging normal, Pain, Photophobia, Sleep disorder, Vomiting, Blood test normal, Drug screen negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma. NKDA.
Allergies:
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.


Changed on 7/7/2013

299825 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-10-21
Onset:2007-10-22
Submitted:2007-11-14
Entered:2007-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 02502AA / 2 LA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 02502AA / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache, Lumbar puncture normal, Migraine, Nausea, Nuclear magnetic resonance imaging normal, Pain, Photophobia, Sleep disorder, Vomiting, Blood test normal, Drug screen negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma. NKDA.
Allergies:
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.


Changed on 4/14/2017

299825 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-10-21
Onset:2007-10-22
Submitted:2007-11-14
Entered:2007-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 02502AA / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache, Lumbar puncture normal, Migraine, Nausea, Nuclear magnetic resonance imaging normal, Pain, Photophobia, Sleep disorder, Vomiting, Blood test normal, Drug screen negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma. NKDA.
Allergies:
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.


Changed on 9/14/2017

299825 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-10-21
Onset:2007-10-22
Submitted:2007-11-14
Entered:2007-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR 02502AA / 2 3 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 1 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown. PMH: asthma. NKDA.
Allergies:
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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