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This is VAERS ID 308064

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

308064
VAERS Form:
Age:9.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UN / UN

Administered by: Public      Purchased by: Unknown
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

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 t"he 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


Changed on 12/8/2009

308064 Before After
VAERS Form:
Age:9.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UN / UN

Administered by: Public      Purchased by: Unknown Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) 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 t"he the time of the report, the patient''''s 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.


Changed on 9/14/2017

308064 Before After
VAERS Form:(blank) 1
Age:9.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Public      Purchased by: Other
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=308064&WAYBACKHISTORY=ON


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