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This is VAERS ID 411241

Case Details

VAERS ID: 411241 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2009-08-20
Onset:2010-10-04
   Days after vaccination:410
Submitted: 2010-12-02
   Days after onset:59
Entered: 2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 2 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Grand mal convulsion
SMQs:, Systemic lupus erythematosus (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? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Grand mal seizure, taken by EMS to hospital. Have no idea if is related to Gardasil vaccine. Reporting just in case. Had another seizure approx 1 mo later. Is on medication for seizures now.


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