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This is VAERS ID 302709

Case Details

VAERS ID: 302709 (history)  
Age: 15.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-12-31
Onset:2007-12-31
   Days after vaccination:0
Submitted: 2008-01-14
   Days after onset:14
Entered: 2008-01-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Computerised tomogram normal, Head injury, Loss of consciousness, Syncope, X-ray
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Liver transplant
Preexisting Conditions:
Diagnostic Lab Data: computed axial - head and neck - no results reported; X-ray - no results reported
CDC Split Type: WAES0801USA00501

Write-up: Information has been received from a mother concerning her 15 year old daughter who has had a liver transplant. There were multiple concomitant medications but none were specified. On 31-DEC-2007 the patient was vaccinated with her first dose of Gardasil. The mother reported that her daughter fainted within 10 minutes after receiving the vaccination. She passed out for about 1 minute after hitting her head. She was seen in the emergency room and required 7 staples in her head to close the wound she received. A CT of the head and neck was performed, as well as X-rays. No results were reported. Her head injury was considered to be immediately life-threatening and disabling. Additional information has been requested.


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