National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 300907

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 300907
Age:13.0
Gender:Female
Location:Connecticut
Vaccinated:2007-12-05
Onset:2007-12-19
Submitted:2007-12-21
Entered:2007-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2430AA / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Computerised tomogram normal, CSF culture negative, Depressed level of consciousness, Electroencephalogram, CSF test normal

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 13 year old female who on 05-DEC-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of Gardasil (lot# 659437/1266U). On 19-DEC-2007, post vaccination the patient was not"able to move her head, hands and legs and was taken to the emergency room and then hospitalized. At the time of this report the patient had not recovered. The patient not being able to move her head, hands and legs was considered to be immediately life-th


Changed on 12/8/2009

VAERS ID: 300907 Before After
Age:13.0
Gender:Female
Location:Connecticut
Vaccinated:2007-12-05
Onset:2007-12-19
Submitted:2007-12-21
Entered:2007-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2430AA / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Computerised tomogram normal, CSF culture negative, Depressed level of consciousness, Electroencephalogram, Full blood count normal, Gait disturbance, Headache, Lethargy, Lumbar puncture, Movement disorder, Muscular weakness, Nuclear magnetic resonance imaging normal, Speech disorder, Laboratory test normal, CSF test normal

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: menstrual migraines, asthma, seasonal allergies, psychological/behavioral issues, temper tantrums. Conceived via artificial insemination. Father w/Kleinfelters disease. Family hx: breast cancer, MI, maternal seizures.
Diagnostic Lab Data: Unknown LABS: CBC & chemistry WNL. LP revealed CSF WNL, c/s neg. CT WNL. MRI head/spine WNL. EEG done, results pending.
CDC 'Split Type': (blank) WAES0712USA08051

Write-up:Information has been received from a nurse concerning a 13 year old female who on 05-DEC-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of Gardasil (lot# 659437/1266U). On 19-DEC-2007, post vaccination the patient was not"able not able to move her head, hands and legs and was taken to the emergency room and then hospitalized. At the time of this report the patient had not recovered. The patient not being able to move her head, hands and legs was considered to be immediately life-th life-threatening and disabling by the nurse. Additional information has been requested. 1/18/08 Reviewed hospital medical records which reveal patient experienced HA, lethargy, muscle weakness, difficult to arouse, altered speech, difficulty walking. Admitted 12/18-12/19/2007. Discussed w/Neuro. Vax record included w/hospital records. Admitted for observation & improved to baseline by d/c. Psychogenic source considered. FINAL DX: muscle weakness.


Changed on 4/7/2010

VAERS ID: 300907 Before After
Age:13.0
Gender:Female
Location:Connecticut
Vaccinated:2007-12-05
Onset:2007-12-19
Submitted:2007-12-21
Entered:2007-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2430AA / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Computerised tomogram normal, CSF culture negative, Depressed level of consciousness, Electroencephalogram, Full blood count normal, Gait disturbance, Headache, Lethargy, Lumbar puncture, Movement disorder, Muscular weakness, Nuclear magnetic resonance imaging normal, Speech disorder, Laboratory test normal, CSF test normal

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: menstrual migraines, asthma, seasonal allergies, psychological/behavioral issues, temper tantrums. Conceived via artificial insemination. Father w/Kleinfelters disease. Family hx: breast cancer, MI, maternal seizures.
Diagnostic Lab Data: Unknown LABS: CBC & chemistry WNL. LP revealed CSF WNL, c/s neg. CT WNL. MRI head/spine WNL. EEG done, results pending.
CDC 'Split Type': WAES0712USA08051

Write-up:Information has been received from a nurse concerning a 13 year old female who on 05-DEC-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of Gardasil (lot# 659437/1266U). On 19-DEC-2007, post vaccination the patient was not able to move her head, hands and legs and was taken to the emergency room and then hospitalized. At the time of this report the patient had not recovered. The patient not being able to move her head, hands and legs was considered to be immediately life-threatening and disabling by the nurse. Additional information has been requested. 1/18/08 Reviewed hospital medical records which reveal patient experienced HA, lethargy, muscle weakness, difficult to arouse, altered speech, difficulty walking. Admitted 12/18-12/19/2007. Discussed w/Neuro. Vax record included w/hospital records. Admitted for observation & improved to baseline by d/c. Psychogenic source considered. FINAL DX: muscle weakness.


Changed on 4/14/2017

VAERS ID: 300907 Before After
Age:13.0
Gender:Female
Location:Connecticut
Vaccinated:2007-12-05
Onset:2007-12-19
Submitted:2007-12-21
Entered:2007-12-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2430AA / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Computerised tomogram normal, CSF culture negative, Depressed level of consciousness, Electroencephalogram, Full blood count normal, Gait disturbance, Headache, Lethargy, Lumbar puncture, Movement disorder, Muscular weakness, Nuclear magnetic resonance imaging normal, Speech disorder, Laboratory test normal, CSF test normal

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: menstrual migraines, asthma, seasonal allergies, psychological/behavioral issues, temper tantrums. Conceived via artificial insemination. Father w/Kleinfelters disease. Family hx: breast cancer, MI, maternal seizures.
Diagnostic Lab Data: Unknown LABS: CBC & chemistry WNL. LP revealed CSF WNL, c/s neg. CT WNL. MRI head/spine WNL. EEG done, results pending.
CDC 'Split Type': WAES0712USA08051

Write-up:Information has been received from a nurse concerning a 13 year old female who on 05-DEC-2007 was vaccinated intramuscularly (site not reported) with the 1st 0.5ml dose of Gardasil (lot# 659437/1266U). On 19-DEC-2007, post vaccination the patient was not able to move her head, hands and legs and was taken to the emergency room and then hospitalized. At the time of this report the patient had not recovered. The patient not being able to move her head, hands and legs was considered to be immediately life-threatening and disabling by the nurse. Additional information has been requested. 1/18/08 Reviewed hospital medical records which reveal patient experienced HA, lethargy, muscle weakness, difficult to arouse, altered speech, difficulty walking. Admitted 12/18-12/19/2007. Discussed w/Neuro. Vax record included w/hospital records. Admitted for observation & improved to baseline by d/c. Psychogenic source considered. FINAL DX: muscle weakness.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=300907&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166