National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 308597

Case Details

VAERS ID: 308597 (history)  
Age: 15.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-07-23
Onset:2007-09-04
   Days after vaccination:43
Submitted: 2008-03-28
   Days after onset:206
Entered: 2008-03-31
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 UN / UN

Administered by: Private       Purchased by: Public
Symptoms: Influenza like illness, Lumbar puncture, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: LAMICTAL
Current Illness: Convulsion disorder; Petit mal
Preexisting Conditions:
Diagnostic Lab Data: spinal tap, 09/04?/07
CDC Split Type: WAES0803USA01553

Write-up: Initial and follow up information has been received from a physician concerning a 15 year old female patient with a seizure disorder of petit mal convulsions, who was vaccinated on 23-JUL-2007, with her first dose of Gardasil (lot# 655620/0171U). Concomitant therapy included LAMICTAL. On 04-SEP-2007, at 10:10 am, the patient experienced flu-like symptoms and myalgia. The patient sought medical treatment, and a lumbar puncture was performed (results not specified). Treatment included MOTRIN, 800mg, STAT, diazepam and LORTAB. On 18-OCT-2007, the events resolved. Physician decided to discontinue the series with Gardasil. The physician considered the events serious as persistent/significant disability or incapacity. Additional information is not expected. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=308597


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166