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This is VAERS ID 308064

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 308064 (history)  
Form: Version .0  
Age: 9.0  
Gender: Female  
Location: Unknown  
Submitted: 2008-03-07
Entered: 2008-03-19
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Public       Purchased by: Other
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA01885

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.

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