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This is VAERS ID 380226

History of Changes from the VAERS Wayback Machine

First Appeared on 3/2/2010

380226
VAERS Form:
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-06-15
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood albumin, Grand mal convulsion, Syncope, Similar reaction on previous exposure to drug

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum albumin
CDC 'Split Type': WAES1002USA00707

Write-up:Information was obtained on request by the company from the agency via a public case details form concerning a 12 year old female patient who on an unspecified date was vaccinated with the first and second doses of GARDASIL. On 15-JUN-2009 the patient experienced syncope and grand mal convulsion. After the first dose of GARDASIL daughter became faint at school. After the second dose of GARDASIL daughter also became faint at school. Five weeks after second dose daughter experienced her first grand mal tonic-clonic seizure, 10 days following another seizure occurred resulting in being taken to hospital (specialist suspected daughter had had other seizures in her sleep). Lab data: albumin test with the result unknown. At the time of report the patient''s status was not recovered. The agency considered that all the symptoms were related to therapy with GARDASIL and to be incapacity/disability. The original reporting source was not provided. No further information is available.


Changed on 6/14/2014

380226 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-06-15
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood albumin, Grand mal convulsion, Syncope, Similar reaction on previous exposure to drug

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum albumin
CDC 'Split Type': WAES1002USA00707

Write-up:Information was obtained on request by the company from the agency via a public case details form concerning a 12 year old female patient who on an unspecified date was vaccinated with the first and second doses of GARDASIL. On 15-JUN-2009 the patient experienced syncope and grand mal convulsion. After the first dose of GARDASIL daughter became faint at school. After the second dose of GARDASIL daughter also became faint at school. Five weeks after second dose daughter experienced her first grand mal tonic-clonic seizure, 10 days following another seizure occurred resulting in being taken to hospital (specialist suspected daughter had had other seizures in her sleep). Lab data: albumin test with the result unknown. At the time of report the patient''s status was not recovered. The agency considered that all the symptoms were related to therapy with GARDASIL and to be incapacity/disability. The original reporting source was not provided. No further information is available.


Changed on 4/14/2017

380226 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-06-15
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood albumin, Grand mal convulsion, Syncope, Similar reaction on previous exposure to drug

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum albumin
CDC 'Split Type': WAES1002USA00707

Write-up:Information was obtained on request by the company from the agency via a public case details form concerning a 12 year old female patient who on an unspecified date was vaccinated with the first and second doses of GARDASIL. On 15-JUN-2009 the patient experienced syncope and grand mal convulsion. After the first dose of GARDASIL daughter became faint at school. After the second dose of GARDASIL daughter also became faint at school. Five weeks after second dose daughter experienced her first grand mal tonic-clonic seizure, 10 days following another seizure occurred resulting in being taken to hospital (specialist suspected daughter had had other seizures in her sleep). Lab data: albumin test with the result unknown. At the time of report the patient''s status was not recovered. The agency considered that all the symptoms were related to therapy with GARDASIL and to be incapacity/disability. The original reporting source was not provided. No further information is available.


Changed on 9/14/2017

380226 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:2009-06-15
Submitted:2010-02-09
Entered:2010-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood albumin, Grand mal convulsion, Syncope, Similar reaction on previous exposure to drug

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum albumin
CDC 'Split Type': WAES1002USA00707

Write-up:Information was obtained on request by the company from the agency via a public case details form concerning a 12 year old female patient who on an unspecified date was vaccinated with the first and second doses of GARDASIL. On 15-JUN-2009 the patient experienced syncope and grand mal convulsion. After the first dose of GARDASIL daughter became faint at school. After the second dose of GARDASIL daughter also became faint at school. Five weeks after second dose daughter experienced her first grand mal tonic-clonic seizure, 10 days following another seizure occurred resulting in being taken to hospital (specialist suspected daughter had had other seizures in her sleep). Lab data: albumin test with the result unknown. At the time of report the patient''s status was not recovered. The agency considered that all the symptoms were related to therapy with GARDASIL and to be incapacity/disability. The original reporting source was not provided. No further information is available.


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