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This is VAERS ID 398588

Case Details

VAERS ID: 398588 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Unknown  
Vaccinated:2008-10-28
Onset:2008-10-28
   Days after vaccination:0
Submitted: 2010-08-04
   Days after onset:645
Entered: 2010-09-08
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Computerised tomogram normal, Headache, Nuclear magnetic resonance imaging normal
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Computed axial, 12/11/08, normal; Magnetic resonance, 11/02/09, normal; MRV, 11/02/09, normal
CDC Split Type: WAES0910USA02825

Write-up: Information has been received from a nurse practitioner concerning a 16 year old female patient with no pertinent medical history and no known drug allergies who on 28-OCT-2008 was vaccinated IM with a third 0.5ml dose of GARDASIL (lot # not reported). There was no concomitant medication. The patient started to have headaches everyday after receiving her third dose of GARDASIL. The patient saw the nurse practitioner on an unspecified date. At the time of the report, the patient had not recovered. Follow up information from a nurse practitioner indicated that onset of acute headache was on 28-OCT-2007 (previously reported as 28-OCT-2008), the same day of immunization with the second dose of GARDASIL. The patient experienced new daily persistent headache. The onset of adverse event might be coincidental with immunization. On 11-DEC-2008, a computed axial tomography (CT) with/without contrast was performed and the result was normal. On 02-NOV-2009, a magnetic resonance imaging (MRI) and mean reticulocyte volume (MRV) were performed and the results were normal. No illnesses were reported at the time of vaccination. The patient''s new daily persistent headache was considered to be disabling. Additional information is not expected.


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