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This is VAERS ID 669963

Case Details

VAERS ID: 669963 (history)  
Age: 14.0  
Gender: Female  
Location: Utah  
Vaccinated:2008-10-25
Onset:2009-03-08
   Days after vaccination:134
Submitted: 2016-12-06
   Days after onset:2830
Entered: 2016-12-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. PL-0572X / 1 RA / IM

Administered by: Unknown       Purchased by: Private
Symptoms: Seizure
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? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type: 1963

Write-up: Had her first seizure on Sunday morning while attending church. No history of seizures, and no family history of seizures.


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