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This is VAERS ID 308429

Case Details

VAERS ID: 308429 (history)  
Age: 15.0  
Gender: Female  
Location: Kansas  
Vaccinated:2007-10-17
Onset:2007-10-17
   Days after vaccination:0
Submitted: 2008-03-27
   Days after onset:162
Entered: 2008-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1265U / 1 GM / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abasia, Amnesia, Biopsy heart, Cardiac arrest, Electrocardiogram, Implantable defibrillator insertion, Loss of consciousness, Nuclear magnetic resonance imaging, Nuclear magnetic resonance imaging brain, Pulse absent, Speech disorder, Unresponsive to stimuli
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Dementia (broad), Dystonia (broad), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Respiratory failure (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 34 days
   Extended hospital stay? Yes
Previous Vaccinations: headache and dizziness~HPV (Gardasil)~1~15.70~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: list is too extensive, will need to send separately. 4/24/08-records received-CT negative. Drug screen positive for benzoidiazepines and phencyclidine. EKG inversion T waves, QTc prolongation. Premature ventricular contraction. CPK elevation 566 with elevated MR fraction of 6.9. Liver enzymes elevated. Echo, exercise stress test and cardiac cath all negative.
CDC Split Type:

Write-up: Cardiac arrest, no pulse, clinically dead, for several minutes until EMT arrived and used defibrillator paddles to re start heart. Ambulance to Hospital for about 4 to 5 hours. Transported by ambulance to facility. Unconscious for 2 days sedated. After she awoke she was unresponsive to family and friends, impaired speech, memory loss and no ability to walk for about 10 days. The first night the many test were run and continued through 29 day stay at the hospital. Treatment included pills, physical therapy, stress testing, 24 hour monitoring of heart and attendant care. EKG, Biopsy of heart, injection of dye to heart, MRI of Brain and Heart. A permanent defibrillator connecting to the heart. 05/05/08-DC summary received for DOS 10/18/11/13/07-DC DX: Ventricular fibrillation, cardiac Arrest. Placement of cardiac defibrillator (internal), pacemaker generator and lead system. 4/24/08-records received-10/18/07-presented to ED with cardiac arrest, ventricular fibrillation. Playing basketball, suddenly had shaking of right arm and deep breaths. Fell down. CPR began, cardioversion successful. Never fully regained consciousness. Respiratory failure. Intubated on ventilator. Extubated. Fentanyl drip. Hypertension since arrival.


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