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This is VAERS ID 413712

History of Changes from the VAERS Wayback Machine

First Appeared on 1/4/2011

413712
VAERS Form:
Age:11.0
Gender:Female
Location:Wisconsin
Vaccinated:2009-10-02
Onset:2009-10-02
Submitted:2010-12-29
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, Loss of consciousness, Paraesthesia, Hypoaesthesia facial

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


Changed on 4/13/2011

413712 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Wisconsin
Vaccinated:2009-10-02
Onset:2009-10-02
Submitted:2010-12-29
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, Anxiety, Convulsion, Dizziness, Electroencephalogram abnormal, Electroencephalogram normal, Epilepsy, Headache, Hyperhidrosis, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Respiratory rate increased, Staring, Syncope, Visual impairment, Metamorphopsia, Hypoaesthesia facial

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


Changed on 5/13/2011

413712 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Wisconsin
Vaccinated:2009-10-02
Onset:2009-10-02
Submitted:2010-12-29
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, Anxiety, Convulsion, Dizziness, Electroencephalogram abnormal, Electroencephalogram normal, Epilepsy, Headache, Hyperhidrosis, Hypoaesthesia, Loss of consciousness, Nuclear magnetic resonance imaging abnormal, Paraesthesia, Respiratory rate increased, Staring, Syncope, Visual impairment, Metamorphopsia, Hypoaesthesia facial

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


Changed on 9/14/2017

413712 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Wisconsin
Vaccinated:2009-10-02
Onset:2009-10-02
Submitted:2010-12-29
Entered:2010-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0604Y / 0 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0653X / 0 1 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3058AA / 0 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR UF471CA / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1537Y / 1 2 RA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Acne, Convulsion, Electroencephalogram abnormal, Epilepsy, Headache, Loss of consciousness, Paraesthesia, Hypoaesthesia facial

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


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