National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 655398

Case Details

VAERS ID: 655398 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Male  
Location: California  
Vaccinated:2016-09-12
Onset:2016-09-12
   Days after vaccination:0
Submitted: 2016-09-26
   Days after onset:14
Entered: 2016-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M021407 / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Computerised tomogram head abnormal, Dizziness, Fall, Head injury, Loss of consciousness, Skull fracture
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: Back injury x 1 week
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT head-fracture through occipital bone fracture through temporal bone
CDC Split Type:

Write-up: Given HPV #2 at 943am. Asked if had any problems with 1st HPV, denied. Sent to another clinic 10 min away to scoliosis series felt dizzy in xray room, fell and hit head. Unconscious, suffered skull fracture.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=655398


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