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This is VAERS ID 329889

Case Details

VAERS ID: 329889 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-07-10
Onset:2007-11-13
   Days after vaccination:126
Submitted: 2008-10-23
   Days after onset:344
Entered: 2008-10-24
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Dizziness, Headache, Memory impairment, Vertigo
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: 11/12/08-records received-office visit 9/11/07-received first Gardasil vaccine at time of visit C/O 2 weeks hyperextends right wrist results in pain. Past 1-2 months occasional episodes of feeling nauseous and dizzy associated with headache.
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown 11/12/08-records received-MRI brain normal. rapid strep negative.
CDC Split Type: WAES0810USA00419

Write-up: Initial and follow up information has been received from a nurse practitioner concerning a 14 year old female patient with no known drug allergies, who on 11-SEP-2007, was vaccinated with the first dose of GARDASIL. On 13-NOV-2007, the patient was vaccinated with the second dose of GARDASIL. In November 2007, the patient started to report dizziness, headaches, difficulty with memory and unsure if she actually had been doing the things she had been doing or simply just thought of them. The patient was a dancer and was unable to dance for a while. The nurse practitioner reported that the patient tried meclizine for the vertigo. On an unknown date, the patient had a normal brain MRI. The nurse practitioner reported that the mom felt 90% of her daughter''s symptoms resolved by summer 2008. The patient and the mother declined to received the third dose of GARDASIL. The events were considered to be disabling. Additional information has been requested. 11/5/08-ED records received for DOS 8/28/08-MVA-C/O neck pain. X-rays unremarkable of cervical spine. Impression: acute cervical strain11/12/08-records received- Office visit 11/2/07-C/O dizziness and vertigo intermittently for several months and worse past week, also nausea and headache. Photophobia with headache with nausea. Vision changes. Falling at dance class. Visit 11/13/07-received 2nd Gardasil vaccine. C/O dizziness feels like in a fog. Daily headaches, difficulty with memory. Missing school. Physician concerned about possibility of abuse and depression. Visit 10/1/08-C/O sore throat with painful swallowing.


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