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This is VAERS ID 351015

Case Details

VAERS ID: 351015 (history)  
Age: 12.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-08-08
Onset:2007-09-01
   Days after vaccination:24
Submitted: 2009-07-08
   Days after onset:676
Entered: 2009-07-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Abasia, Activities of daily living impaired, Computerised tomogram normal, Disturbance in attention, Dizziness, Electroencephalogram normal, Insomnia, Loss of consciousness, Nausea, Nuclear magnetic resonance imaging normal, Sleep study normal, X-ray normal
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: X-ray, negative; magnetic resonance, negative; computed axial, negative; sleep study, negative; electroencephalography, negative
CDC Split Type: WAES0907USA00275

Write-up: Information has been received from a consumer concerning her 12 year old student daughter with no known drug allergies who on 09-MAY-2007 was vaccinated with the first dose of GARDASIL. On 08-AUG-2007 the patient was vaccinated with the second dose of GARDASIL. In September 2007, the patient developed severe nausea and severe dizziness, unable to function-can''t walk, stand up, read, no computer work. The patient could not go to sleep at night because when she closed her eyes the dizziness was even worse, black outs. Symptoms lasted from 10 minutes to several hours. The patient missed a total of 30 days of school in 2007. This year she missed 27 days of school. Symptoms continued. Studies of X-rays, MRI, CT scan, vestibular testing, sleep studies, EEG were all negative. Severe nausea, severe dizziness, black outs, can''t walk and missed a total of 30 days of school in 2007 and 27 days this year were considered to be disabling and other important medical events by the reporter. Additional information has been requested. 9/28/09 Note in vaccine records. Patient had 2 doses of Gardasil. Did not complete series.


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