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This is VAERS ID 536633

Case Details

VAERS ID: 536633 (history)  
Form: Version 1.0  
Gender: Female  
Location: Unknown  
Submitted: 2014-07-15
Entered: 2014-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Convulsion, Impaired driving ability
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES1407USA006221

Write-up: This spontaneous report as received from a healthcare worker via a company representative reported that an unspecified doctor in their office stated that his daughter''s friend (female, age unknown) who on an unspecified date was vaccinated with GARDASIL (dose, route and lot # not reported). It was unknown which of the three-doses in the series was received by the patient, and if the GARDASIL series was completed. On an unspecified date after receiving GARDASIL, the patient experienced a seizure. It was reported that the patient was no longer able to drive and also had other unspecified incapacities after the event occurred. The outcome of the adverse event was unknown. The healthcare worker considered the event to be significant disability or incapacity. Upon internal review, seizure was considered to be medically significant. Additional information has been requested.

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