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This is VAERS ID 365296

Case Details

VAERS ID: 365296 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2009-04-01
Onset:2009-04-01
   Days after vaccination:0
Submitted: 2009-11-04
   Days after onset:217
Entered: 2009-11-05
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0650X / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Computerised tomogram, Migraine, Pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None. 11/16/09: Neurology consult received for date of service 5/8/09. PMH: Concussion. 11/24/09 ER records received for date 4/14/09, 4/24/09, 4/28/09, 4/29/09. PMH: migraines
Diagnostic Lab Data: Unknown. 11/16/09: Neurology consult received for date of service 5/8/09. Labs and diagnostics: None. 11/24/09 ER records received for date 4/14/09, 4/24/09, 4/28/09, 4/29/09. Diag/Labs: blood test WNL.
CDC Split Type: WAES0910USA04077

Write-up: Information has been received from an office manager concerning her daughter with no pertinent medical history and no known allergies who on April 2009, was vaccinated with the second dose of GARDASIL. There was no concomitant medication. In April 2009, two days after administration of the second dose of GARDASIL, the patient experienced migraines, syncope and aches. It was reported that the patient''s symptoms "come and goes and go with different durations". On an unspecified date a computerized tomography was performed; results were not reported. The patient''s mother stated that her daughter had to miss one month of school. At the time of reporting the patient had not recovered. The reporting office manager considered that migraines, syncope and aches were disabling. Additional information has been requested. 11/16/09: Neurology consult received for date of service 5/8/09. Dx: HA''s and Migraine HA''s Assessment: Initially she sees spots that resolve, then she becomes dizzy, followed by HA pain. Pain starts in R frontal region, with eye pain then becomes diffuse throughout her head. She experiences nausea, photophobia, feet and ankles become tingly with diffuse weakness and fatigue. All sx. resolve once the HA resolves. HA''s occur monthly. Hx. of migraines for one year lasting hours to days. Migranes intensified after a concussion with a brief loss of consciousness 1 yr. ago. Tension HA''s occur up to a couple of times per wk. Most recent migraine lasted for a few weeks. Taking Frova, Amitryptyline and Compazine prn. 11/24/09 ER records received for date 4/14/09, 4/24/09, 4/28/09, 4/29/09. DX: migraine. Chief c/o migraine HA, nausea, x2 wks. Assessment:WNL, pt tx, and dc w/ sx resolved.ER visit on 4/29/09 DX: migraine HA. Pt c/o ongoing HA/migraine x3wks. HA moves to different locations of head. Pt states sharp pain/pressure, nausea, light/sound sensitive. Pt. states have blacked out a couple of times.


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