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This is VAERS ID 644392

Case Details

VAERS ID: 644392 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Foreign  
   Days after vaccination:1
Submitted: 2016-07-21
   Days after onset:477
Entered: 2016-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K009460 / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Epilepsy, Generalised tonic-clonic seizure, Petit mal epilepsy
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: Immunisation
Preexisting Conditions: Febrile convulsion, medical continue; unknown; Pertussis vaccine (unspecified)
Diagnostic Lab Data:
CDC Split Type: WAES1607DEU008037

Write-up: Information has been received from a consumer via SPMSD (case reported number DE-1577272925-2016007325) on 18-JUL-2016. Case received on 12-Jul-2016. A 15-year-old female adolescent patient received GARDASIL (lot and batch number K009460, Dose 1, expiry date: Sep 2016) on 31-Mar-2015, GARDASIL (lot and batch number K022803, dose 2, expiry date: Nov 2016) on 03-Jun-2015. The patient experienced epilepsy on April 2015. Starting in April 2015, first petit mal occurred. Starting in September 2015, worsening to grand mal. Meanwhile manifest epilepsy was diagnosed. The patient had a medical history of febrile seizure and received Pertussis vaccine. The patient''s outcome was reported as Not Recovered/Not Resolved. The reporter assessed the causal relationship between epilepsy and GARDASIL as unknown. The rechallenge result is positive.

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