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From the 1/14/2022 release of VAERS data:

This is VAERS ID 408229

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Case Details

VAERS ID: 408229 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Iowa  
Vaccinated:2010-10-28
Onset:2010-10-28
   Days after vaccination:0
Submitted: 2010-11-12
   Days after onset:15
Entered: 2010-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 1 LA / IM

Administered by: Other       Purchased by: Public
Symptoms: Fall, Grand mal convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was receiving vaccinations at a school based clinic. After she received her HPV vaccination she went to stand in line to get her Hepatitis A vaccination. While standing in line she was noted to have tonic/clonic seizure activity, fluttering of her eyes, and she fell to the floor on her left side. She was attended to immediately and was awakened within seconds.


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