National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 413712

Case Details

VAERS ID: 413712 (history)  
Age: 11.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2009-10-02
Onset:2009-10-02
   Days after vaccination:0
Submitted: 2010-12-29
   Days after onset:453
Entered: 2010-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0604Y / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0653X / 0 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3058AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471CA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1537Y / 1 RA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Acne, Convulsion, Electroencephalogram abnormal, Epilepsy, Headache, Hypoaesthesia facial, Loss of consciousness, Paraesthesia
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Following hpv vaccine (along with meningitis shot) my daughter started having black out episodes later EEG results came back abnormal indicating seizure / epilepsy which she NEVER had before. Other neurological symptoms include: frequency of episodes getting progressively more often, Occasional numbness of face Tingling of arms head aches following seizures also bad acne
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Following hpv vaccine (along with meningitis shot) my daughter started having black out episodes later EEG results came back abnormal indicating seizure / epilepsy which she NEVER had before. Other neurological symptoms include: frequency of episodes getting progressively more often, Occasional numbness of face Tingling of arms head aches following seizures


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=413712


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166