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This is VAERS ID 306710

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

306710
VAERS Form:
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Ataxia, C-reactive protein increased, Delusional perception, Dizziness, Dyspnoea, Electrocardiogram normal, Electroencephalogram normal, Headache, Laboratory test abnormal, Nausea, Nuclear magnetic resonance imaging normal, Photophobia, Stress at work, Phonophobia, Ultrasound scan normal, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient was vaccinated with a first dose of Gardasil (lot# NF56940) i.m. (site not reported) on 24-Oct-07.
Allergies:
Diagnostic Lab Data: An MRI (date and site not reported) was without pathological findings; 05-Dec-07, CRP 5.0 mg/dl (normal range: <1 mg/dl); EEG, ECG and sonographies were without pathological findings; routine lab parameters only showed increased inflammator
CDC 'Split Type': E200801915

Write-up:Case initially received on 25-Feb-08. This case is linked with case E2008-00806 (same patient). It was reported by a pediatrician that a 16-year-old female patient was vaccinated with a dose of IPV Merieux (lot#, site and route not reported) and a dose of hepatitis B (product, lot#, site and route not reported) at the end of Nov-07. The patient had recovered from ataxia and non-specific dizziness after the first vaccine with Gardasil (on 24-Oct-07) until 05-Nov-07. After the vaccinations with IPV Merieux and hepatitis B the ataxia and dizziness reappeared and worsened. the patient was hospitalised on 03-Dec-07 due to dizziness, nausea and relapsing complained of severe headache, delusional perception, photophobia, phonophobia and feeling of dyspnoea. She also complained of much psychological stress at work. EEG, ECG and sonographies were without pathological findings. Routine lab parameters only showed increased inflammatory parameters for respiratory infection (on 05-De-07: CRP 5.0 mg/dl, normal range: <1 mg/dl). Therefore the patient was treated with doxycycline (onset and dose were not reported). Under this therapy the laboratory findings (values not reported) and the condition of the patient improved. She was referred to the child and adolescent psychologist due to her stress situation. Further information was expected. On 07-Dec-07 the patient was discharged from hospital in good general condition.


Changed on 4/14/2017

306710 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Ataxia, C-reactive protein increased, Delusional perception, Dizziness, Dyspnoea, Electrocardiogram normal, Electroencephalogram normal, Headache, Laboratory test abnormal, Nausea, Nuclear magnetic resonance imaging normal, Photophobia, Stress at work, Phonophobia, Ultrasound scan normal, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient was vaccinated with a first dose of Gardasil (lot# NF56940) i.m. (site not reported) on 24-Oct-07.
Allergies:
Diagnostic Lab Data: An MRI (date and site not reported) was without pathological findings; 05-Dec-07, CRP 5.0 mg/dl (normal range: <1 mg/dl); EEG, ECG and sonographies were without pathological findings; routine lab parameters only showed increased inflammator inflammatory parameters for respiratory infection
CDC 'Split Type': E200801915

Write-up:Case initially received on 25-Feb-08. This case is linked with case E2008-00806 (same patient). It was reported by a pediatrician that a 16-year-old female patient was vaccinated with a dose of IPV Merieux (lot#, site and route not reported) and a dose of hepatitis B (product, lot#, site and route not reported) at the end of Nov-07. The patient had recovered from ataxia and non-specific dizziness after the first vaccine with Gardasil (on 24-Oct-07) until 05-Nov-07. After the vaccinations with IPV Merieux and hepatitis B the ataxia and dizziness reappeared and worsened. the patient was hospitalised on 03-Dec-07 due to dizziness, nausea and relapsing complained of severe headache, delusional perception, photophobia, phonophobia and feeling of dyspnoea. She also complained of much psychological stress at work. EEG, ECG and sonographies were without pathological findings. Routine lab parameters only showed increased inflammatory parameters for respiratory infection (on 05-De-07: CRP 5.0 mg/dl, normal range: <1 mg/dl). Therefore the patient was treated with doxycycline (onset and dose were not reported). Under this therapy the laboratory findings (values not reported) and the condition of the patient improved. She was referred to the child and adolescent psychologist due to her stress situation. Further information was expected. On 07-Dec-07 the patient was discharged from hospital in good general condition.


Changed on 9/14/2017

306710 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Ataxia, C-reactive protein increased, Delusional perception, Dizziness, Dyspnoea, Electrocardiogram normal, Electroencephalogram normal, Headache, Laboratory test abnormal, Nausea, Nuclear magnetic resonance imaging normal, Photophobia, Stress at work, Phonophobia, Ultrasound scan normal, Reaction to previous exposure to any vaccine

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: The patient was vaccinated with a first dose of Gardasil (lot# NF56940) i.m. (site not reported) on 24-Oct-07.
Allergies:
Diagnostic Lab Data: An MRI (date and site not reported) was without pathological findings; 05-Dec-07, CRP 5.0 mg/dl (normal range: <1 mg/dl); EEG, ECG and sonographies were without pathological findings; routine lab parameters only showed increased inflammatory parameters for respiratory infection
CDC 'Split Type': E200801915

Write-up:Case initially received on 25-Feb-08. This case is linked with case E2008-00806 (same patient). It was reported by a pediatrician that a 16-year-old female patient was vaccinated with a dose of IPV Merieux (lot#, site and route not reported) and a dose of hepatitis B (product, lot#, site and route not reported) at the end of Nov-07. The patient had recovered from ataxia and non-specific dizziness after the first vaccine with Gardasil (on 24-Oct-07) until 05-Nov-07. After the vaccinations with IPV Merieux and hepatitis B the ataxia and dizziness reappeared and worsened. the patient was hospitalised on 03-Dec-07 due to dizziness, nausea and relapsing complained of severe headache, delusional perception, photophobia, phonophobia and feeling of dyspnoea. She also complained of much psychological stress at work. EEG, ECG and sonographies were without pathological findings. Routine lab parameters only showed increased inflammatory parameters for respiratory infection (on 05-De-07: CRP 5.0 mg/dl, normal range: <1 mg/dl). Therefore the patient was treated with doxycycline (onset and dose were not reported). Under this therapy the laboratory findings (values not reported) and the condition of the patient improved. She was referred to the child and adolescent psychologist due to her stress situation. Further information was expected. On 07-Dec-07 the patient was discharged from hospital in good general condition.


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