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This is VAERS ID 426969

History of Changes from the VAERS Wayback Machine

First Appeared on 7/12/2011

VAERS ID: 426969
Age:13.0
Gender:Female
Location:New York
Vaccinated:2011-06-27
Onset:2011-06-27
Submitted:2011-07-07
Entered:2011-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Anxiety, Fall, Laceration, Face injury, Seizure like phenomena

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1106USA03859

Write-up:Information has been received from a physician concerning a 13 year old female who on 27-JUN-2011 was vaccinated intramuscularly with the first dose of GARDASIL. The reporter stated on 27-JUN-2011, the patient experienced seizure like symptoms. She was sitting on the exam table, fell off the table and hit her chin on the counter as she fell. The patient was anxious and had not eaten all day. The patient split her chin open and it was considered to be disabling. At the time of the report, the patient''s outcome was unknown. The patient sought unspecified medical attention. Upon internal review, seizure like symptoms is considered to be other important medical event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 426969 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2011-06-27
Onset:2011-06-27
Submitted:2011-07-07
Entered:2011-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Anxiety, Fall, Laceration, Face injury, Seizure like phenomena

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1106USA03859

Write-up:Information has been received from a physician concerning a 13 year old female who on 27-JUN-2011 was vaccinated intramuscularly with the first dose of GARDASIL. The reporter stated on 27-JUN-2011, the patient experienced seizure like symptoms. She was sitting on the exam table, fell off the table and hit her chin on the counter as she fell. The patient was anxious and had not eaten all day. The patient split her chin open and it was considered to be disabling. At the time of the report, the patient''s outcome was unknown. The patient sought unspecified medical attention. Upon internal review, seizure like symptoms is considered to be other important medical event. Additional information has been requested.


Changed on 4/14/2017

VAERS ID: 426969 Before After
Age:13.0
Gender:Female
Location:New York
Vaccinated:2011-06-27
Onset:2011-06-27
Submitted:2011-07-07
Entered:2011-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Anxiety, Fall, Laceration, Face injury, Seizure like phenomena

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1106USA03859

Write-up:Information has been received from a physician concerning a 13 year old female who on 27-JUN-2011 was vaccinated intramuscularly with the first dose of GARDASIL. The reporter stated on 27-JUN-2011, the patient experienced seizure like symptoms. She was sitting on the exam table, fell off the table and hit her chin on the counter as she fell. The patient was anxious and had not eaten all day. The patient split her chin open and it was considered to be disabling. At the time of the report, the patient''s outcome was unknown. The patient sought unspecified medical attention. Upon internal review, seizure like symptoms is considered to be other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=426969&WAYBACKHISTORY=ON


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