National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 397569

History of Changes from the VAERS Wayback Machine

First Appeared on 9/22/2010

VAERS ID: 397569
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2010-08-17
Onset:2010-08-24
Submitted:2010-09-03
Entered:2010-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blindness, Headache, Pyrexia, Scotoma, Vision blurred, Visual disturbance, Visual field defect, Ophthalmological examination abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: ophthalmological exam, 08/??/10, visual field deficits
CDC 'Split Type': WAES1008USA03618

Write-up:Information has been received from a physician concerning a 13 year old female with no pertinent medical history and no known allergies who was vaccinated IM with the first 0.5 ml dose and the second 0.5 ml dose of GARDASIL (lot # of both doses not reported) on 15-JUN-2010 and 17-AUG-2010, respectively. There was no concomitant medication. On 24-AUG-2010, the patient experienced blurred vision, seeing spots and a headache. The physician reports that the patient was seen by an optometrist who performed vision exam and noted visual field deficits, and that patient was scheduled for an MRI on 26-AUG-2010. It was also reported that the patient had vision loss. At the time of the report, the patient was not recovered. Vision loss was considered to be disabling by the reporting physician. Additional information has been requested.


Changed on 1/4/2011

VAERS ID: 397569 Before After
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2010-08-17
Onset:2010-08-24
Submitted:2010-09-03
Entered:2010-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blindness, Headache, Pyrexia, Scotoma, Vision blurred, Visual disturbance, Visual field defect, Visual impairment, Ophthalmological examination abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: ophthalmological exam, 08/??/10, visual field deficits
CDC 'Split Type': WAES1008USA03618

Write-up:Information has been received from a physician concerning a 13 year old female with no pertinent medical history and no known allergies who was vaccinated IM with the first 0.5 ml dose and the second 0.5 ml dose of GARDASIL (lot # of both doses not reported) on 15-JUN-2010 and 17-AUG-2010, respectively. There was no concomitant medication. On 24-AUG-2010, the patient experienced blurred vision, seeing spots and a headache. The physician reports that the patient was seen by an optometrist who performed vision exam and noted visual field deficits, and that patient was scheduled for an MRI on 26-AUG-2010. It was also reported that the patient had vision loss. At the time of the report, the patient was not recovered. Vision loss was considered to be disabling by the reporting physician. Additional information has been requested.


Changed on 4/13/2011

VAERS ID: 397569 Before After
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2010-08-17
Onset:2010-08-24
Submitted:2010-09-03
Entered:2010-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blindness, Chills, Dizziness, Headache, Nuclear magnetic resonance imaging brain normal, Pyrexia, Scotoma, Vision blurred, Visual field defect, Visual impairment, Ophthalmological examination abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: ophthalmological exam, 08/??/10, visual field deficits
CDC 'Split Type': WAES1008USA03618

Write-up:Information has been received from a physician concerning a 13 year old female with no pertinent medical history and no known allergies who was vaccinated IM with the first 0.5 ml dose and the second 0.5 ml dose of GARDASIL (lot # of both doses not reported) on 15-JUN-2010 and 17-AUG-2010, respectively. There was no concomitant medication. On 24-AUG-2010, the patient experienced blurred vision, seeing spots and a headache. The physician reports that the patient was seen by an optometrist who performed vision exam and noted visual field deficits, and that patient was scheduled for an MRI on 26-AUG-2010. It was also reported that the patient had vision loss. At the time of the report, the patient was not recovered. Vision loss was considered to be disabling by the reporting physician. Additional information has been requested.


Changed on 5/13/2011

VAERS ID: 397569 Before After
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2010-08-17
Onset:2010-08-24
Submitted:2010-09-03
Entered:2010-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blindness, Chills, Dizziness, Headache, Nuclear magnetic resonance imaging brain normal, Pyrexia, Scotoma, Vision blurred, Visual field defect, Visual impairment, Ophthalmological examination abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: ophthalmological exam, 08/??/10, visual field deficits
CDC 'Split Type': WAES1008USA03618

Write-up:Information has been received from a physician concerning a 13 year old female with no pertinent medical history and no known allergies who was vaccinated IM with the first 0.5 ml dose and the second 0.5 ml dose of GARDASIL (lot # of both doses not reported) on 15-JUN-2010 and 17-AUG-2010, respectively. There was no concomitant medication. On 24-AUG-2010, the patient experienced blurred vision, seeing spots and a headache. The physician reports that the patient was seen by an optometrist who performed vision exam and noted visual field deficits, and that patient was scheduled for an MRI on 26-AUG-2010. It was also reported that the patient had vision loss. At the time of the report, the patient was not recovered. Vision loss was considered to be disabling by the reporting physician. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 397569 Before After
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2010-08-17
Onset:2010-08-24
Submitted:2010-09-03
Entered:2010-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blindness, Headache, Vision blurred, Visual field defect, Visual impairment, Ophthalmological examination abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: ophthalmological exam, 08/??/10, visual field deficits
CDC 'Split Type': WAES1008USA03618

Write-up:Information has been received from a physician concerning a 13 year old female with no pertinent medical history and no known allergies who was vaccinated IM with the first 0.5 ml dose and the second 0.5 ml dose of GARDASIL (lot # of both doses not reported) on 15-JUN-2010 and 17-AUG-2010, respectively. There was no concomitant medication. On 24-AUG-2010, the patient experienced blurred vision, seeing spots and a headache. The physician reports that the patient was seen by an optometrist who performed vision exam and noted visual field deficits, and that patient was scheduled for an MRI on 26-AUG-2010. It was also reported that the patient had vision loss. At the time of the report, the patient was not recovered. Vision loss was considered to be disabling by the reporting physician. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 397569 Before After
Age:13.0
Gender:Female
Location:Alabama
Vaccinated:2010-08-17
Onset:2010-08-24
Submitted:2010-09-03
Entered:2010-09-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0331Z / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blindness, Headache, Vision blurred, Visual field defect, Visual impairment, Ophthalmological examination abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: ophthalmological exam, 08/??/10, visual field deficits
CDC 'Split Type': WAES1008USA03618

Write-up:Information has been received from a physician concerning a 13 year old female with no pertinent medical history and no known allergies who was vaccinated IM with the first 0.5 ml dose and the second 0.5 ml dose of GARDASIL (lot # of both doses not reported) on 15-JUN-2010 and 17-AUG-2010, respectively. There was no concomitant medication. On 24-AUG-2010, the patient experienced blurred vision, seeing spots and a headache. The physician reports that the patient was seen by an optometrist who performed vision exam and noted visual field deficits, and that patient was scheduled for an MRI on 26-AUG-2010. It was also reported that the patient had vision loss. At the time of the report, the patient was not recovered. Vision loss was considered to be disabling by the reporting physician. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=397569&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166