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This is VAERS ID 309587

Case Details

VAERS ID: 309587 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2008-04-15
Entered: 2008-04-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0804USA02502

Write-up: Information has been received from a medical assistant concerning a female (age not reported) who on an unspecified date was vaccinated with a dose of Gardasil, 0.5 mL, once, IM. Concomitant medication was not reported. Subsequently on an unspecified date, the patient experienced seizure. Unspecified medical attention was sought. The reporting medical assistant was not sure if this was the patient''s first or second dose of Gardasil, but the patient definitely has not had the third dose yet. Subsequently on an unspecified date, the patient recovered from seizure. No product quality complaint was involved. Seizure was considered to be disabling. Additional information has been requested.

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