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This is VAERS ID 308597

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

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

Administered by: Private      Purchased by: Unknown
Symptoms: Influenza like illness, Lumbar puncture, Myalgia

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':

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). Concomi"tant 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, STA


Changed on 12/8/2009

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

Administered by: Private      Purchased by: Unknown Public
Symptoms: Influenza like illness, Lumbar puncture, Myalgia

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': (blank) 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). Concomi"tant 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, STA 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.


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


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