National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 324292

Case Details

VAERS ID: 324292 (history)  
Age: 15.0  
Gender: Female  
Location: Delaware  
Vaccinated:2007-11-19
Onset:2007-11-20
   Days after vaccination:1
Submitted: 2008-08-29
   Days after onset:282
Entered: 2008-09-05
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT2458BA / 5 RA / SC
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 0 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Headache, Immediate post-injection reaction, Lethargy, Malaise
SMQs:, Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: N/A
Preexisting Conditions: None PMH: cupping of optic disc. Eye itch & burn. Hypermetropia, painful menses, using contraception to regulate. Excision of chalazia bilateral lower eyelids. Adopted. Family hx cancer. HPV #2 given 1/29/08, Lot # 1265U; HPV #3 given 6/10/08, Lot # 1757Y, RA.
Diagnostic Lab Data: Eye exams (2 different Opt.)
CDC Split Type:

Write-up: Severe headaches (immed. after 1st course) continuing almost daily. Joint aches, extreme malaise and lethargy. (2 visits to eye specialist - reported to physician). 9/23/08 Reviewed PCP medical records & vaccine records. PCP office called parent for status check as they were unaware of any problems patient had. Office states patient had severe HA after 1st & 3rd HPV vaccines. Parent reports patient is completely asymptomatic now. Eye exam of 12/31/07 reveals clear vision & no pain. 1/26/2010 Headaches have lessend but still occurring.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=324292


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