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This is VAERS ID 331629

Case Details

VAERS ID: 331629 (history)  
Age: 16.0  
Gender: Female  
Location: Missouri  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2008-11-06
Entered: 2008-11-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Fall, Haemorrhage intracranial, Head injury, Headache, Intensive care, Suture insertion, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Haemorrhagic central nervous system vascular conditions (narrow), Accidents and injuries (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0811USA00065

Write-up: Information has been received from a registered nurse (R.N.) concerning a 16 or 17 year old female who on an unspecified date was vaccinated with her first dose of GARDASIL. Subsequently, "somewhere in 2007", the patient fainted and literally fell on her head and had front and back cranial bleeding. The patient was brought to the hospital and was placed in the intensive care. The patient also had 27 stitches on her head. The nurse reported that the patient complained that she was still having headaches all the time. The outcomes of other events were not reported. The reporter considered the patient''s adverse events to be disabling and immediately life-threatening. Additional information is not expected.


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