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This is VAERS ID 486559

History of Changes from the VAERS Wayback Machine

First Appeared on 3/12/2013

VAERS ID: 486559
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2008-02-12
Onset:0000-00-00
Submitted:2013-03-06
Entered:2013-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Grand mal convulsion, Myoclonus, Laboratory test normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at time
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Test for seizures but no known cause.
CDC 'Split Type':

Write-up:Started having myoclonic jerk within few months after shots. Reported to physician who said may be stress. Jerks continued then grand mal seizures started. Continue to have myoclonic jerks and grand mal seizures. Have had other hospitalizations due to seizure complications.


Changed on 6/12/2013

VAERS ID: 486559 Before After
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2008-02-12
Onset:0000-00-00 2008-12-27
Submitted:2013-03-06
Entered:2013-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Grand mal convulsion, Myoclonus, Laboratory test normal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at time
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Test for seizures but no known cause.
CDC 'Split Type':

Write-up:Started having myoclonic jerk within few months after shots. Reported to physician who said may be stress. Jerks continued then grand mal seizures started. Continue to have myoclonic jerks and grand mal seizures. Have had other hospitalizations due to seizure complications.


Changed on 9/17/2013

VAERS ID: 486559 Before After
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2008-02-12
Onset:2008-12-27
Submitted:2013-03-06
Entered:2013-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Apnoea, Convulsion, Dyskinesia, Fall, Grand mal convulsion, Blood urine present, Joint dislocation, Loss of consciousness, Myoclonus, Tongue biting, Joint dislocation reduction, Thermal burn, Laboratory test normal, Spinal disorder, X-ray limb abnormal, Skin graft, Nuclear magnetic resonance imaging spinal abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at time
Current Illness: None
Preexisting Conditions: None The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records. Allergy: Amoxicillin; Minocin.
Diagnostic Lab Data: Test for seizures but no known cause. The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records. Ur blood: large (H). CT head neg. 4/22/13. Labs/diagnostics. EEG WNL. MRI lumbar spine: mild disc degeneration. CT face: R facial soft tissue swelling. No fractures. XR shoulder: L anterior glenohumer joint dislocation.
CDC 'Split Type':

Write-up:Started having myoclonic jerk within few months after shots. Reported to physician who said may be stress. Jerks continued then grand mal seizures started. Continue to have myoclonic jerks and grand mal seizures. Have had other hospitalizations due to seizure complications. The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records DOS 9/6-7/2009 ? ER visit. DX: seizures. CC: seizures; rhythmic jerking; LOC; bit tongue; apnoea. Observed briefly et released to f/u c neurologist. Admitted 3/20-24/2010. DX: ~ 3% total body surface area burn to R arm, s/p grafting; grand mal, not intractable seizure; disorders of sacrum; discogenic syndrome. CC: pt had burned herself during seizure episode. admitted to hospital for skin grafting in burn unit. During hospitalization, pt had seizure ? anticonvulsant meds modified. DC in stable condition to f/u c specialists. ER visit 8/4/12. DX: shoulder dislocation. CC: shoulder injury during water sport activity. Re-evaluated for day surgery 3/19/2013. DX: recurrent L shoulder glenohumeral joint instability c Bankart lesion et Hill-Sachs deformity; seizure disorder. Repair surgery scheduled. Repeat ER visit 1/17/13. DX: L shoulder dislocation. CC: seizure causing fall et shoulder injury. Pt has had 3 prior dislocations. Shoulder reduction done. Released in stable condition.


Changed on 1/13/2014

VAERS ID: 486559 Before After
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2008-02-12
Onset:2008-12-27
Submitted:2013-03-06
Entered:2013-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Apnoea, Convulsion, Dyskinesia, Fall, Grand mal convulsion, Blood urine present, Joint dislocation, Loss of consciousness, Myoclonus, Tongue biting, Joint dislocation reduction, Thermal burn, Laboratory test normal, Spinal disorder, X-ray limb abnormal, Skin graft, Nuclear magnetic resonance imaging spinal abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at time
Current Illness: None
Preexisting Conditions: None The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records. Allergy: Amoxicillin; Minocin.
Diagnostic Lab Data: Test for seizures but no known cause. The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records. Ur blood: large (H). CT head neg. 4/22/13. Labs/diagnostics. EEG WNL. MRI lumbar spine: mild disc degeneration. CT face: R facial soft tissue swelling. No fractures. XR shoulder: L anterior glenohumer joint dislocation.
CDC 'Split Type':

Write-up:Started having myoclonic jerk within few months after shots. Reported to physician who said may be stress. Jerks continued then grand mal seizures started. Continue to have myoclonic jerks and grand mal seizures. Have had other hospitalizations due to seizure complications. The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records DOS 9/6-7/2009 ? ER visit. DX: seizures. CC: seizures; rhythmic jerking; LOC; bit tongue; apnoea. Observed briefly et released to f/u c neurologist. Admitted 3/20-24/2010. DX: ~ 3% total body surface area burn to R arm, s/p grafting; grand mal, not intractable seizure; disorders of sacrum; discogenic syndrome. CC: pt had burned herself during seizure episode. admitted to hospital for skin grafting in burn unit. During hospitalization, pt had seizure ? anticonvulsant meds modified. DC in stable condition to f/u c specialists. ER visit 8/4/12. DX: shoulder dislocation. CC: shoulder injury during water sport activity. Re-evaluated for day surgery 3/19/2013. DX: recurrent L shoulder glenohumeral joint instability c Bankart lesion et Hill-Sachs deformity; seizure disorder. Repair surgery scheduled. Repeat ER visit 1/17/13. DX: L shoulder dislocation. CC: seizure causing fall et shoulder injury. Pt has had 3 prior dislocations. Shoulder reduction done. Released in stable condition.


Changed on 7/14/2014

VAERS ID: 486559 Before After
Age:16.0
Gender:Female
Location:Missouri
Vaccinated:2008-02-12
Onset:2008-12-27
Submitted:2013-03-06
Entered:2013-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Apnoea, Convulsion, Dyskinesia, Fall, Grand mal convulsion, Blood urine present, Joint dislocation, Loss of consciousness, Myoclonus, Tongue biting, Joint dislocation reduction, Thermal burn, Laboratory test normal, Spinal disorder, X-ray limb abnormal, Skin graft, Nuclear magnetic resonance imaging spinal abnormal

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at time
Current Illness: None
Preexisting Conditions: None The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records. Allergy: Amoxicillin; Minocin.
Diagnostic Lab Data: Test for seizures but no known cause. The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records. Ur blood: large (H). CT head neg. 4/22/13. Labs/diagnostics. EEG WNL. MRI lumbar spine: mild disc degeneration. CT face: R facial soft tissue swelling. No fractures. XR shoulder: L anterior glenohumer joint dislocation.
CDC 'Split Type':

Write-up:Started having myoclonic jerk within few months after shots. Reported to physician who said may be stress. Jerks continued then grand mal seizures started. Continue to have myoclonic jerks and grand mal seizures. Have had other hospitalizations due to seizure complications. The following information was obtained through follow-up and/or provided by the government. 4/22/13. Hospital records DOS 9/6-7/2009 ER visit. DX: seizures. CC: seizures; rhythmic jerking; LOC; bit tongue; apnoea. Observed briefly et released to f/u c neurologist. Admitted 3/20-24/2010. DX: ~ 3% total body surface area burn to R arm, s/p grafting; grand mal, not intractable seizure; disorders of sacrum; discogenic syndrome. CC: pt had burned herself during seizure episode. admitted to hospital for skin grafting in burn unit. During hospitalization, pt had seizure anticonvulsant meds modified. DC in stable condition to f/u c specialists. ER visit 8/4/12. DX: shoulder dislocation. CC: shoulder injury during water sport activity. Re-evaluated for day surgery 3/19/2013. DX: recurrent L shoulder glenohumeral joint instability c Bankart lesion et Hill-Sachs deformity; seizure disorder. Repair surgery scheduled. Repeat ER visit 1/17/13. DX: L shoulder dislocation. CC: seizure causing fall et shoulder injury. Pt has had 3 prior dislocations. Shoulder reduction done. Released in stable condition.


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