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This is VAERS ID 341496

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 341496 (history)  
Form: Version .0  
Age: 13.0  
Gender: Female  
Location: Missouri  
   Days after vaccination:5
Submitted: 2009-03-10
   Days after onset:345
Entered: 2009-03-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Amenorrhoea, Computerised tomogram normal, Convulsion, Dizziness, Drooling, Dysarthria, Electrocardiogram normal, Fatigue, Laboratory test normal, Malaise, Myoclonic epilepsy, Neurological examination normal, Nuclear magnetic resonance imaging normal, Pallor, Postictal state, Respiratory arrest, Tonic clonic movements, Vaginal discharge
SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Vestibular disorders (broad), Fertility disorders (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown. 7/31/09 Neurology consultant records received DOS 9/10/08. Left elbow fracture, surgery.
Diagnostic Lab Data: Computed axial, 03/30/08, normal; Diagnostic laboratory, 03/30/08, normal; Electrocardiogram, normal; Magnetic resonance, normal 3/16/09-records received-CT and labs all normal .
CDC Split Type: WAES0903USA00740

Write-up: Information has been received from a physician concerning a female who was vaccinated with a 0.5ml dose of GARDASIL. On an unspecified date, after receiving a dose of GARDASIL, the patient experienced seizures. The patient sought unspecified medical attention. Follow-up information was received from a nurse. It was reported that the patient had not received the GARDASIL in their office, so she did not know how many vaccine the patient received. It was reported that the patient had the first dose of GARDASIL and sometime after had the first seizure on 30-MAR-2008. The patient was taken by ambulance to the emergency room. A computed axial tomography scan and labs were normal, so the patient was discharged that same night. The physician had the patient got electrocardiogram and magnetic resonance imaging which were normal. It was documented that the patient had been to an amusement park on a roller coaster and received the meningococcal vaccine the week before the seizure. The patient had another seizure in August 2008. In September 2008, she was seen by a neurologist who prescribed LAMICTAL. The nurse did not have anymore information about the patient''s current status. Upon internal review, seizures were determined to be other important events. Additional information has been requested. 3/16/09-records received-office visit 3/31/08 presented with C/O syncopal/seizure episode last night. Had rode a roller coaster 4-5 times. Just received meningococcal vaccine last week. Had shaking tremors and syncopal like episode and presented to ED where CT and labs all normal . Office visit 4/29/08for sports physical exam. Office visit 1/20/09-C/O amenorrhea and began periods 2 years ago. Now having spells of not feeling well, continues with seizure activity. Dizziness some headace sore throats cough stomach ache, hot/cold spells and possible irregular heart rate night before. On Lamictal. Has not started period yet has vaginal discharge and episode with cramping. 9/10/08-neurology consult for two seizure like events with arms

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