National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 497496

History of Changes from the VAERS Wayback Machine

First Appeared on 8/12/2013

VAERS ID: 497496
Age:13.0
Gender:Female
Location:Illinois
Vaccinated:2012-04-16
Onset:2012-04-17
Submitted:2013-07-23
Entered:2013-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1495AA / 1 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Amnesia, Dizziness, Dystonia, Electroencephalogram normal, Headache, Nuclear magnetic resonance imaging brain normal, Vomiting, Abasia, Laboratory test normal, Psychogenic seizure, CSF test normal, Antinuclear antibody positive, Anti-NMDA antibody negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Respiridone 0.5 mg, Sertraline 75 mg
Current Illness: Potentially had dizziness and vomiting
Preexisting Conditions: Bipolar disorder, developmental delays
Diagnostic Lab Data: CSF studies were normal; NMDA testing was normal; MRI of brain was normal; multiple EEGs were normal; unremarkable serum chemistries; child did have positive ribonucleoprotein antibody
CDC 'Split Type':

Write-up:Child had vomiting, dizziness, that proceeded to headaches, over ensuing weeks, child developed amnesia, dystonia, and lost ability to walk; child had multiple pseudoseizures.


Changed on 9/17/2013

VAERS ID: 497496 Before After
Age:13.0
Gender:Female
Location:Illinois
Vaccinated:2012-04-16
Onset:2012-04-17
Submitted:2013-07-23
Entered:2013-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1495AA / 1 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Amnesia, Dizziness, Dystonia, Electroencephalogram normal, Headache, Nuclear magnetic resonance imaging brain normal, Vomiting, Abasia, Laboratory test normal, Psychogenic seizure, CSF test normal, Antinuclear antibody positive, Anti-NMDA antibody negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: (blank) 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Respiridone 0.5 mg, Sertraline 75 mg
Current Illness: Potentially had dizziness and vomiting
Preexisting Conditions: Bipolar disorder, developmental delays
Diagnostic Lab Data: CSF studies were normal; NMDA testing was normal; MRI of brain was normal; multiple EEGs were normal; unremarkable serum chemistries; child did have positive ribonucleoprotein antibody
CDC 'Split Type':

Write-up:Child had vomiting, dizziness, that proceeded to headaches, over ensuing weeks, child developed amnesia, dystonia, and lost ability to walk; child had multiple pseudoseizures.


Changed on 6/14/2014

VAERS ID: 497496 Before After
Age:13.0
Gender:Female
Location:Illinois
Vaccinated:2012-04-16
Onset:2012-04-17
Submitted:2013-07-23
Entered:2013-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1495AA / 1 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Amnesia, Dizziness, Dystonia, Electroencephalogram normal, Headache, Nuclear magnetic resonance imaging brain normal, Vomiting, Abasia, Laboratory test normal, Psychogenic seizure, CSF test normal, Antinuclear antibody positive, Anti-NMDA antibody negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Respiridone 0.5 mg, Sertraline 75 mg
Current Illness: Potentially had dizziness and vomiting
Preexisting Conditions: Bipolar disorder, developmental delays
Diagnostic Lab Data: CSF studies were normal; NMDA testing was normal; MRI of brain was normal; multiple EEGs were normal; unremarkable serum chemistries; child did have positive ribonucleoprotein antibody
CDC 'Split Type':

Write-up:Child had vomiting, dizziness, that proceeded to headaches, over ensuing weeks, child developed amnesia, dystonia, and lost ability to walk; child had multiple pseudoseizures.


Changed on 7/14/2014

VAERS ID: 497496 Before After
Age:13.0
Gender:Female
Location:Illinois
Vaccinated:2012-04-16
Onset:2012-04-17
Submitted:2013-07-23
Entered:2013-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1495AA / 1 LA / IM

Administered by: Unknown      Purchased by: Private
Symptoms: Amnesia, Dizziness, Dystonia, Electroencephalogram normal, Headache, Nuclear magnetic resonance imaging brain normal, Vomiting, Abasia, Laboratory test normal, Psychogenic seizure, CSF test normal, Antinuclear antibody positive, Anti-NMDA antibody negative

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 15     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Respiridone 0.5 mg, Sertraline 75 mg
Current Illness: Potentially had dizziness and vomiting
Preexisting Conditions: Bipolar disorder, developmental delays
Diagnostic Lab Data: CSF studies were normal; NMDA testing was normal; MRI of brain was normal; multiple EEGs were normal; unremarkable serum chemistries; child did have positive ribonucleoprotein antibody
CDC 'Split Type':

Write-up:Child had vomiting, dizziness, that proceeded to headaches, over ensuing weeks, child developed amnesia, dystonia, and lost ability to walk; child had multiple pseudoseizures.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=497496&WAYBACKHISTORY=ON


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