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This is VAERS ID 410326

Case Details

VAERS ID: 410326 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-11-24
Entered: 2010-11-29
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Grand mal convulsion
SMQs:, Systemic lupus erythematosus (broad), Dementia (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES1011USA02092

Write-up: Information has been received from a nurse practitioner and a registered nurse that a female who in 2007 was vaccinated with the first dose of GARDASIL (lot number not provided), in 2008 was vaccinated with the second dose of GARDASIL (lot number not provided), in 2009 was vaccinated with the third dose of GARDASIL (lot number not provided). It was reported that the patient had received the GARDASIL vaccinations at another physician''s office. On 16-AUG-2010 the patient experienced the first grand mal seizure. The registered nurse stated that the patient has had a "bad year". The patient was a junior in high school and was "pretty much homebound at this time", per the patient''s mother. The patient has seen a neurologist and a cardiologist (name of physicians were unknown to the reporter). At time of the report, the patient''s outcome was unknown. Grand mal seizure was considered to be disabling by the reporter. Additional information has been requested.


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