Write-up: Initial and follow-up information has been received from a nurse and a office employee concerning a 9 year old female (granddaughter of the office employee) experienced a seizure after her first vaccination with RECOMBIVAX HB (manufacturer unknown). At the time of the report, the patient''s outcome was unknown. Upon internal review, seizure was determined to be an other important medical event. Subsequently, she was vaccinated with a first dose of GARDASIL concomitantly with a second dose of hepatitis A virus vaccine inactivated (manufacturer unspecified) and a second dose of RECOMBIVAX HB (manufacturer unknown) and experienced a "small seizure." (MSD WAES# 0705USA02215). Additional information has been requested.