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This is VAERS ID 566379

Case Details

VAERS ID: 566379 (history)  
Age: 15.0  
Gender: Male  
Location: Rhode Island  
Vaccinated:2013-08-21
Onset:2013-12-11
   Days after vaccination:112
Submitted: 2015-02-21
   Days after onset:437
Entered: 2015-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H015555 / 2 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Blood test, Confusional state, Convulsion, Dysarthria, Electroencephalogram, Epilepsy, Eye movement disorder, Fall, Gait disturbance, Head banging, Laboratory test, Nuclear magnetic resonance imaging, Speech disorder
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Ocular motility disorders (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Allergy to amoxil
Diagnostic Lab Data: Was diagnosed with Epilepsy by his Neurologist after bloodwork, EEG, MRI and other tests
CDC Split Type:

Write-up: Walking around, stumbling, mumbling, banging his head on a cabinet, falling over, eyes moving all over, slurred speak and then confusion. It lasted about 15 minutes and was considered a seizure in January 2014 following an ER visit due to a seizure.


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