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This is VAERS ID 411241

History of Changes from the VAERS Wayback Machine

First Appeared on 12/7/2010

411241
VAERS Form:
Age:15.0
Gender:Female
Location:Kentucky
Vaccinated:2009-08-20
Onset:2010-10-04
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Grand mal convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
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.


Changed on 1/4/2011

411241 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Kentucky
Vaccinated:2009-08-20
Onset:2010-10-04
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Grand mal convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 1     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.


Changed on 4/13/2011

411241 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Kentucky
Vaccinated:2009-08-20
Onset:2010-10-04
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Blood potassium decreased, Complex partial seizures, Computerised tomogram normal, Confusional state, Electrocardiogram normal, Electroencephalogram normal, Grand mal convulsion, Headache, Hypokalaemia, Nuclear magnetic resonance imaging brain normal, Unresponsive to stimuli, Musculoskeletal stiffness, Gaze palsy, Foaming at mouth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 1     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.


Changed on 5/13/2011

411241 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Kentucky
Vaccinated:2009-08-20
Onset:2010-10-04
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Blood potassium decreased, Complex partial seizures, Computerised tomogram normal, Confusional state, Electrocardiogram normal, Electroencephalogram normal, Grand mal convulsion, Headache, Hypokalaemia, Nuclear magnetic resonance imaging brain normal, Unresponsive to stimuli, Musculoskeletal stiffness, Gaze palsy, Foaming at mouth

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 1     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.


Record is removed as of 2/13/2013


Changed on 3/14/2014

411241 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Kentucky
Vaccinated:2009-08-20
Onset:2010-10-04
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 1 LA / - UN

Administered by: Private      Purchased by: Private
Symptoms: Grand mal convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 1     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.


Changed on 9/14/2017

411241 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Kentucky
Vaccinated:2009-08-20
Onset:2010-10-04
Submitted:2010-12-02
Entered:2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0087Y / 1 2 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Grand mal convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 1     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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