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This is VAERS ID 594219

Case Details

VAERS ID: 594219 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Michigan  
Vaccinated:2013-06-04
Onset:2013-08-20
   Days after vaccination:77
Submitted: 0000-00-00
Entered: 2015-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. H021346 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Muscle twitching, Seizure, Stomatitis
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT; EEG; Blood work; Notes from neuro reviewed-cannot/does not make tie between seizures and vaccine
CDC Split Type:

Write-up: Seizures, twitches in fingers/hands sores in mouth started about 1-2 weeks after shot. Multiple seizures.


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