National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 380740

History of Changes from the VAERS Wayback Machine

First Appeared on 3/2/2010

VAERS ID: 380740
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 8/31/2010

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 1/4/2011

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 4/13/2011

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Convulsion, Death, Decreased activity, Fall, Headache, Hypertension, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Pulmonary congestion, Pulmonary oedema, Sensory loss, Unresponsive to stimuli, Weight increased, White blood cell count decreased, Monocyte percentage increased, Lymphocyte percentage increased, Sudden unexplained death in epilepsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 5/13/2011

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Convulsion, Death, Decreased activity, Fall, Headache, Hypertension, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Pulmonary congestion, Pulmonary oedema, Sensory loss, Unresponsive to stimuli, Weight increased, White blood cell count decreased, Monocyte percentage increased, Lymphocyte percentage increased, Sudden unexplained death in epilepsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 6/11/2011

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Convulsion, Death, Decreased activity, Fall, Headache, Hypertension, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Pulmonary congestion, Pulmonary oedema, Sensory loss, Unresponsive to stimuli, Weight increased, White blood cell count decreased, Monocyte percentage increased, Lymphocyte percentage increased, Sudden unexplained death in epilepsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 7/7/2013

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Convulsion, Death, Decreased activity, Fall, Headache, Hypertension, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Pulmonary congestion, Pulmonary oedema, Sensory loss, Unresponsive to stimuli, Weight increased, White blood cell count decreased, Monocyte percentage increased, Lymphocyte percentage increased, Sudden unexplained death in epilepsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 6/14/2014

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Convulsion, Death, Decreased activity, Fall, Headache, Hypertension, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Pulmonary congestion, Pulmonary oedema, Sensory loss, Unresponsive to stimuli, Weight increased, White blood cell count decreased, Monocyte percentage increased, Lymphocyte percentage increased, Sudden unexplained death in epilepsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 3/14/2015

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Convulsion, Death, Decreased activity, Fall, Headache, Hypertension, Hypoaesthesia, Injury, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Pulmonary congestion, Pulmonary oedema, Sensory loss, Unresponsive to stimuli, Weight increased, White blood cell count decreased, Monocyte percentage increased, Lymphocyte percentage increased, Sudden unexplained death in epilepsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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:
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 4/14/2017

VAERS ID: 380740 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 9/14/2017

VAERS ID: 380740 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / - UNK - NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 0 1 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 2/14/2018

VAERS ID: 380740 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / UNK NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 1 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 6/14/2018

VAERS ID: 380740 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / UNK NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 1 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 8/14/2018

VAERS ID: 380740 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / UNK NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 1 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 9/14/2018

VAERS ID: 380740 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / UNK NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 1 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.


Changed on 10/14/2018

VAERS ID: 380740 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Washington
Vaccinated:2009-08-25
Onset:2009-10-01
Submitted:2010-02-18
Entered:2010-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500673P / UNK NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0671Y / 1 AR / IJ

Administered by: Private      Purchased by: Other
Symptoms: Death, Decreased activity, Fall, Headache, Hypoaesthesia, Loss of control of legs, Menstruation irregular, Oedema peripheral, Paraesthesia, Peripheral coldness, Sensory loss, Unresponsive to stimuli

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2009-10-17
Permanent Disability? No
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: Trileptol and Keppra
Current Illness: My daughter had a seizure disorder that came on with her periods.
Preexisting Conditions: Patient had a pre-existing seizure disorder which she was on trileptol and Keppra to control the seizures.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received the HPV as well as the flu nasal spray on Aug 25th. I first declined getting her the vaccination but her doctor ensured me that it was safe. I had declined the same vaccination a year earlier at the downtown public health center. Patient was getting ready for school and was standing by her closet, and all of a sudden she fell, she lost total control of her legs. She went to school and could not engage in any of the activities because of the numbness in her legs and the swelling of her foot. She also, started to get a really bad headache. Days later she woke up out of her sleep complaining of a severe headache, which usually she gets if she has a seizure but she hadn''t had a seizure this night. She continued to say she had not feeling in her foot and tingling feeling in her leg. After I examined her foot I noticed it was swollen. The next morning I called her doctors office and made her doctors appointment for Oct 23rd. During the month of October she had irregular periods. My daughter never made it to Oct 23rd, which as also her birthday. She passed on Oct. 17th, I found her cold unresponsive in her room at 7am, which I went in to wake her up to take her morning pills.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=380740&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166