National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 630655

History of Changes from the VAERS Wayback Machine

First Appeared on 7/14/2016

VAERS ID: 630655
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:2009-11-11
Onset:2009-11-16
Submitted:2016-03-07
Entered:2016-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amnesia, Dizziness, Dysarthria, Haematoma, Headache, Nausea, Nervous system disorder, Pain, Seizure, Emotional distress, Activities of daily living impaired, Impaired work ability, Skin abrasion, Craniocerebral injury

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1603CAN002762

Write-up:Information has been received from a lawyer regarding a case in litigation concerning a 14 year old female patient, who on 11-NOV-2009 was vaccinated with her first dose of GARDASIL (dosage, lot number and route of administration not provided). On 16-NOV-2009, the patient experienced a seizure and was taken to the emergency department presenting with slurred speech, hematoma, nausea, and abrasions. On or about February or March 2010, the patient was administered a second dose of GARDASIL, and a third dose was administered in or about May 2010 (dosages, lot numbers and routes of administration not provided). The patient suffered further seizures on or about 29-JUL-2010 and 12-NOV-2012. As a result, the patient sustained serious personal injuries including, but not limited to: traumatic brain injury, neurological damage and disorder, memory loss, headaches, and lightheadedness (onset not provided), as well as seizures, slurred speech, hematoma, abrasions and nausea. As a result of the injuries suffered, the patient has experienced pain and suffering and loss of the amenities of life and has been forced to undergo and will continue in the future to require lengthy and painful therapy and treatments for her rehabilitation. As a further result of her injuries, the patient has suffered and will continue to suffer loss of income as a result of being restricted in her ability to work, and required ongoing care to assist with all activities of daily living. The outcome of the seizures, lightheadedness, headache, memory loss, neurological damage and disorder, traumatic brain injury, abrasions, nausea, hematoma and slurred speech is unknown. Upon internal review, seizures (16-NOV-2009, 29-JUL-2010 and 12-NOV-2012) were determined to be medically significant. Seizures, traumatic brain injury, neurological damage and disorder, slurred speech, hematoma, abrasions, memory loss, headaches, lightheadedness, and nausea were considered to be disabling. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=630655&WAYBACKHISTORY=ON


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