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This is VAERS ID 325957

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 325957
Age:10.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-07-01
Submitted:2008-09-23
Entered:2008-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Nervous system disorder, Pyrexia, Antiphospholipid antibodies positive, Abasia

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, days: 69     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: lupus anticoagulant, 07?/??/08, positive
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 10 year old female with CYTOXAN allergy who in May 2007 was vaccinated with the first dose of GARDASIL. In July or August of 2007, the patient was vaccinated with the second dose of GARDASIL. The"re was no concomitant medication. The patient has not yet received the third dose. The patient first experienced high fever and rash in July 2007. The patient was diagnosed with lupus. She then progressed to having seizures and kidney insufficiency. The p


Changed on 12/8/2009

VAERS ID: 325957 Before After
Age:10.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-01
Onset:2007-07-01
Submitted:2008-09-23
Entered:2008-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Nervous system disorder, Pyrexia, Rash, Renal failure, Speech disorder, Systemic lupus erythematosus, Antiphospholipid antibodies positive, Abasia

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, days: 69     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: None
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: lupus anticoagulant, 07?/??/08, positive
CDC 'Split Type': (blank) WAES0809USA02640

Write-up:Information has been received from a physician concerning a 10 year old female with CYTOXAN allergy who in May 2007 was vaccinated with the first dose of GARDASIL. In July or August of 2007, the patient was vaccinated with the second dose of GARDASIL. The"re There was no concomitant medication. The patient has not yet received the third dose. The patient first experienced high fever and rash in July 2007. The patient was diagnosed with lupus. She then progressed to having seizures and kidney insufficiency. The p patient lost all neurological functions including the ability to walk and talk considered to be disabling. She was hospitalized from 23-NOV-2007 to 30-JAN-2008 until there was some improvement. The patient was given oxygen while in the hospital. The patient still can not walk but able to recover her speech. The patient was considered to be recovering from lupus, seizures and renal insufficiency. Seizures were considered to be immediately life-threatening. Lupus, seizures, loss of ability to walk and talk and kidney insufficiency were considered to be an other important medical events and disabling by the physician. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=325957&WAYBACKHISTORY=ON


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