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Found 121 events with Vaccine is HPV

Event Details Report

VAERS ID:	271661	Vaccination Date:	2007-01-29
Age:	13.0	Onset Date:	2007-01-29 Days later: 0
Gender:	Female	Submitted:	2007-02-02
State:	California	Entered:	2007-02-02

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: NO

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	AVENTIS PASTEUR	U2176FA	0	IM	RA
HPV	UNKNOWN MANUFACTURER	0954F	0	IM	RA
TDAP	AVENTIS PASTEUR	C2638AA	0	IM	LA
VARCEL	MERCK & CO. INC.	1152F	0	SC	LA

Administered by: Private Purchased by: Unknown

Symptoms: Computerised tomogram normal, Convulsion, Laboratory test normal, Syncope

Write-up: FAINTING VS SEIZURES. CT AND LABS WNL

VAERS ID:	271956	Vaccination Date:	2007-01-23
Age:	23.0	Onset Date:	2007-01-24 Days later: 1
Gender:	Female	Submitted:	2007-02-08
State:	Massachusetts	Entered:	2007-02-08

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Mircette, Claritin prn, Imitrex, Naprosyn, Valtrex

Preexisting Conditions: migraines, eczema, condyloma, herpes simplex, lactose intolerance

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1426F	1	IM	LA

Administered by: Private Purchased by: Private

Symptoms: Headache, Nausea

Write-up: headache and nausea different than usual migraine for 2 wks beginning day after Gardasil vaccine administration

VAERS ID:	272358	Vaccination Date:	2007-02-13
Age:	14.0	Onset Date:	2007-02-13 Days later: 0
Gender:	Female	Submitted:	2007-02-15
State:	North Carolina	Entered:	2007-02-15

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: ear infection

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0		R

Administered by: Private Purchased by: Unknown

Symptoms: Loss of consciousness

Write-up: Marlene passed out after having the Gardasil vaccine.

VAERS ID:	272861	Vaccination Date:	2006-12-12
Age:	19.0	Onset Date:	2007-01-30 Days later: 49
Gender:	Female	Submitted:	2007-02-21
State:	California	Entered:	2007-02-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: Scheduled appointment with Rhumatologist

Previous Vaccinations:

Other Medications: yasmin

Preexisting Conditions: allgery to tylenol

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unkown	0	IM	GM

Administered by: Private Purchased by: Unknown

Symptoms: Arthralgia, Fatigue, Gait disturbance, Influenza like illness, Muscular weakness

Write-up: 3 weeks after injection, soreness in the left and right wrist, left ankle, and left knee. Pain has worsened and at times is hard to function. E.I- Fingers and wrist get too weak and painful to use, ankle pain increases making it hard to walk. Also, the feeling of having the flu, being constantly run-down and tired. This occured a month after recieving the vaccine.

VAERS ID:	272928	Vaccination Date:	2007-02-22
Age:	27.0	Onset Date:	2007-02-22 Days later: 0
Gender:	Female	Submitted:	2007-02-23
State:	California	Entered:	2007-02-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: N/A

Previous Vaccinations:

Other Medications: Kariva, Nasonex

Preexisting Conditions: None known

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	0011U	0	IM	RA

Administered by: Private Purchased by: Private

Symptoms: Pruritus, Swelling face

Write-up: Pt. states he experienced mild itching last evening on upper part of body and leg. Also states that right side of face appears swollen

VAERS ID:	273127	Vaccination Date:	2007-02-23
Age:	13.0	Onset Date:	2007-02-24 Days later: 1
Gender:	Female	Submitted:	2007-02-27
State:	Washington	Entered:	2007-02-27

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Lactaid 3000 unit tab take before eating dairy products

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	0961f	0	IM	RA

Administered by: Private Purchased by: Unknown

Symptoms: Fatigue, Malaise, Somnolence

Write-up: Mother reports that the day after immunization the patient reported fatigue and was unable to get out of bed. No headache, no fever, and no other symptoms. Mother states that patient slept on and off for two days. No treatment required. Fatigue/malaise not listed on VIS as side effect.

VAERS ID:	273267	Vaccination Date:	2007-03-01
Age:	16.0	Onset Date:	2007-03-01 Days later: 0
Gender:	Female	Submitted:	2007-03-01
State:	Pennsylvania	Entered:	2007-03-01

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: Dr. felt it was not a reaction to the injection or did she have a seizure. But it was a reaction of fear from having the injection. My dauther has never had a reaction to needle in this matter in her life time. Dr. said she may not have

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unknown	0
TDAP	UNKNOWN MANUFACTURER	unknown	0

Administered by: Private Purchased by: Private

Symptoms: Convulsion, Dizziness, Dyskinesia, Injection site pain, Loss of consciousness, Musculoskeletal stiffness, Pain, Pallor

Write-up: My daughter received 2 vaccines Tdap and HPV. The Tdap was injected in her right arm with no complaintsor event. Immediately after the Tdap injection she was injected with HPV vaccine in her left arm. She stated while the needle was still her arm that it hurt and she felt dizzy. As soon as she said she felt dizzy she passed out with her eyes closed. The nurse and I grap her to prevent her from falling off the exam table. Suddenly, she jerked back at the same time she jerked backwards her right arm jerked up over her head and her arm hit the window behind her then she became stiff and her whole body began to jerk. This appeared to me to look like she was having a seizure. The nusre also stated that she was having a seizure The nurse and I kept on calling her name and trying to stop her from banging into the window or to fall of the exam table. She came to in amount 30 seconds startled and wided eyed with her face pale and her lips white. The doctor came in after the entire event examined her said she was okay she laid down for about 15 mins and she was okay but still pale. Went home and my dauther slept for an hour.

VAERS ID:	273268	Vaccination Date:	2007-02-28
Age:	22.0	Onset Date:	2007-02-28 Days later: 0
Gender:	Female	Submitted:	2007-03-02
State:	Oregon	Entered:	2007-03-02

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	UNKNOWN MANUFACTURER	unknown	0	IM	LA
HPV	UNKNOWN MANUFACTURER	unknown	0	IM	RA

Administered by: Public Purchased by: Unknown

Symptoms: Arthralgia, Asthenia, Discomfort, Erythema, Fatigue, Injection site pain, Insomnia, Pain, Pyrexia, Rash, Swelling, Urticaria

Write-up: pain, redness & swelling, mild fever, tiredness, sore joints, rash, hives, severe pain at injections site, weakness, lost of sleep, discomfort.

VAERS ID:	273758	Vaccination Date:	2007-03-07
Age:	26.0	Onset Date:	2007-03-07 Days later: 0
Gender:	Female	Submitted:	2007-03-11
State:	Massachusetts	Entered:	2007-03-11

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0

Administered by: Unknown Purchased by: Unknown

Symptoms: Nausea, Pyrexia

Write-up: fever, nausea

VAERS ID:	273790	Vaccination Date:	2007-03-09
Age:	17.0	Onset Date:	2007-03-09 Days later: 0
Gender:	Female	Submitted:	2007-03-12
State:	Georga	Entered:	2007-03-12

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: none

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: Allergic to Pertussis vaccine

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	SC	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Anxiety, Deafness, Fatigue, Flushing, Hypoaesthesia, Injected limb mobility decreased, Nausea, Pain in extremity, Syncope, Vertigo

Write-up: 10:30am - Within 10 minutes of receiving vaccine, she fainted. She began to experience severe pain in her left arm with numbness in her hands and fingers. She had feelings of impending dome. 11:30am - She returned to school approximately 1 hour after the injection, but her symptoms did not improve and worsened. She was unable to use her left arm do to the pain and lack of feeling/strength in her hand. She then had periods of hearing loss. She experienced nausea, vertigo, facial flushing, upper chest flushing, and profound fatigue. 12:30pm - I returned her back to the MD office. There they did vital signs and administered Bendaryl by mouth. Her symptoms lasted 12 hours. By the next morning, she back to normal.

VAERS ID:	274170	Vaccination Date:	0000-00-00
Age:	23.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	0000-00-00
State:	New York	Entered:	2007-03-19

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Hay fever

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER

Administered by: Public Purchased by: Unknown

Symptoms: Rash erythematous, Rash maculo-papular, Urticaria

Write-up: On day 6th after 1st dose of HPV and Influenza vaccine given at health center, forearms, hands, palms maculopapular erythematous rash that became heavy and spread to entire body. Patient had been seen by 2 dermatologist, patches/hives last for 1 1/2 weeks. Required treatment with oral steroids (Medrol pack). No other current illness such as fever, headache, arthralgia, arthritis or myalgia. Reaction developed despite oral Claritin daily.

VAERS ID:	274430	Vaccination Date:	2007-03-20
Age:	22.0	Onset Date:	2007-03-21 Days later: 1
Gender:	Female	Submitted:	2007-03-21
State:	Minnesota	Entered:	2007-03-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: none

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	0688F	0	IM	RA
TDAP	AVENTIS PASTEUR	C2688AA	0	IM	LL

Administered by: Private Purchased by: Private

Symptoms: Injection site swelling, Oedema peripheral, Pharyngolaryngeal discomfort, Swelling face

Write-up: Localized swelling at injection sites,swelling of hands and feet, swelling of face and posterior pharynx

VAERS ID:	274432	Vaccination Date:	2007-03-08
Age:	4.0	Onset Date:	2007-03-09 Days later: 1
Gender:	Male	Submitted:	2007-03-21
State:	North Dakota	Entered:	2007-03-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: Child brought in to physician 3/12/07 after calling in to report cellulitis to clinic. s (occured on weekend.) Parent asked for Hep A for child (NOT HPV!!!)will have lot# soon from Public Health as they are the ones who notified me of the

Previous Vaccinations: none~~~0~In Patient

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	UNKNOWN MANUFACTURER				LL
HPV	UNKNOWN MANUFACTURER				LL
MMRV	UNKNOWN MANUFACTURER				LL
OPV	UNKNOWN MANUFACTURER				RL

Administered by: Unknown Purchased by: Unknown

Symptoms: Cellulitis, Gait disturbance, Inappropriate schedule of drug administration, Injection site induration, Shock, Skin discolouration, Swelling, Wrong drug administered

Write-up: Developed a severe cellulitis the day after injection given. Severe swelling and compromised circulation. Mobility effected - limping. Leg dusky colored unless elevated. Parent called physician for antibiotics, kept leg elevated (mother is RN). Leg continues with hard lumps felt at injeciton site.

VAERS ID:	274662	Vaccination Date:	2007-02-09
Age:	27.0	Onset Date:	2007-02-10 Days later: 1
Gender:	Female	Submitted:	2007-03-03
State:	Florida	Entered:	2007-03-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: NONE

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Loestrin FE

Preexisting Conditions: Allergies: Ceclor; no conditions

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1163F	0

Administered by: Private Purchased by: Other

Symptoms: Dyspnoea, Tachycardia

Write-up: Patient experienced rapid heart rate and shortness of breath. Patient went to ER.

VAERS ID:	275186	Vaccination Date:	2007-03-22
Age:	13.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2007-03-29
State:	California	Entered:	2007-03-29

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: none

Previous Vaccinations: none~~NULL~~In Patient

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	0245U	2	IM	UN

Administered by: Private Purchased by: Private

Symptoms: Inappropriate schedule of drug administration, Medication error

Write-up: 3rd HPV vaccine given too early HPV #1 11-21-06, HPV #2 1-25-07, HPV # 3 given 3-22-07

VAERS ID:	276172	Vaccination Date:	2007-03-23
Age:	16.0	Onset Date:	2007-03-28 Days later: 5
Gender:	Female	Submitted:	2007-04-12
State:	Missouri	Entered:	2007-04-12

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: none

Previous Vaccinations:

Other Medications:

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	GM

Administered by: Private Purchased by: Unknown

Symptoms: Erythema, Rash

Write-up: Developlep red lesion on left breast about 1 week after injection then next week developed red raised bumps with white centers all over abdomen progressively spread to back breasts and neck.

VAERS ID:	276186	Vaccination Date:	2007-04-10
Age:	13.0	Onset Date:	2007-04-12 Days later: 2
Gender:	Female	Submitted:	2007-04-12
State:	Oklahoma	Entered:	2007-04-12

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1208f	0	IM	RA
MNQ	AVENTIS PASTEUR	42142AA	0	IM	RA
PPV	MERCK & CO. INC.	0866f	0	IM	LA

Administered by: Private Purchased by: Public

Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth

Write-up: red raised bumps around injection site, hot to touch, swollen and injection site itself is red was given in the left deltoid

VAERS ID:	276289	Vaccination Date:	2007-04-11
Age:	17.0	Onset Date:	2007-04-11 Days later: 0
Gender:	Female	Submitted:	2007-04-14
State:	Colorado	Entered:	2007-04-14

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Acid Reflux

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Nexium

Preexisting Conditions: Migrains

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Muscle spasms, Pain, Pelvic pain

Write-up: 4/11/07 @3:10pm - patient went to the doctor for pain in stomache, diagnosed as Acid Reflux. We were given a flyer fo HPV, and we all agreed that patient needed to recieve the vaccine. Approximately 3 hours after that, patient complained of cramping in her pelvic area (right, left, and middle of her pany-line area). She took 1-600mg Ibuprophin, which eased the pain. She still complains of pain in that area today. I called the nurse who gave the vaccine, and she said this was not a symptom. Just thought I'd write what we have experienced after recieving the HPV vaccine.

VAERS ID:	276422	Vaccination Date:	2007-04-13
Age:	17.0	Onset Date:	2007-04-13 Days later: 0
Gender:	Female	Submitted:	2007-04-16
State:	North Carolina	Entered:	2007-04-16

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None but she has fainted before while receiving vaccines but had never had a convulsion. The same thing happenned to her friend

Diagnostic Lab Data: Doctor recommended and EKG. We are still pending on this.

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0
MMR	MERCK & CO. INC.		2
MNQ	AVENTIS PASTEUR		0

Administered by: Private Purchased by: Unknown

Symptoms: Convulsion, Eye rolling, Musculoskeletal stiffness, Screaming, Syncope

Write-up: Sindy fainted and had a convulsion/seizure immediately after receiving the first HPV shot. While she was out, she suddenly lifted her upper body, rolled her eyes, made a screeching noise (like scared) and stiffed her hands.

VAERS ID:	277232	Vaccination Date:	2007-03-27
Age:	17.0	Onset Date:	2007-04-02 Days later: 6
Gender:	Female	Submitted:	2007-04-05
State:	South Dakota	Entered:	2007-04-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1425F	1	IM	LA

Administered by: Private Purchased by: Public

Symptoms: Arthralgia, Joint swelling

Write-up: 6 days after Gardasil dose #2, she developed swollen, painful joints in the elbows, wrists, ankles and knees bilaterally. Has taken Ibuprofen with little relief. Pain and swelling persists for 3 days now. Will monitor, no fever.

VAERS ID:	277391	Vaccination Date:	2007-03-29
Age:	12.0	Onset Date:	2007-04-12 Days later: 14
Gender:	Female	Submitted:	2007-04-25
State:	Maryland	Entered:	2007-04-25

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: MRI theraco lumbar spine/brain WNL LABS: CT of brain was WNL. CBC, chem & UA all WNL EMG done 4/20/07 was WNL. Referred for MRI to r/ocentral demyelinating disease. head computed axial - 04/12/07 - normal. neurological - 04/20/07 - norm

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: Sulfa allergy, causes rash

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Private

Symptoms: Abasia, Computerised tomogram normal, Electromyogram normal, Fall, Full blood count normal, Gait disturbance, Hypoaesthesia, Laboratory test normal, Muscular weakness, Neurological examination normal, Nuclear magnetic resonance imaging brain normal, Nuclear magnetic resonance imaging normal, Pain in extremity, Scan brain, Tremor, Urinary incontinence, Urine analysis normal, Weight bearing difficulty

Write-up: Lower extremity weakness, frequent falls, lower extremity paraesthesia 5/1/07 Received medical records from 1st hospital where pt seen in ER & then transferred to higher level of care. Pt experienced bilateral LE weaness & numbness of both legs while at school. She tried to brace herself up against a wall but was unable to remain upright. Exam revealed she was unable to bear weight secondary to weakness FINAL DX: paresthesia & motor weakness of bilateral legs, etiology unknown. 5/22/07 Received hospital Neuro clinic medical records which reveal patient evaluated 4/20/07 by MD who had seen her in ER week before for legs shaking w/weakness & numbness since 4/12/07. Seen at outlying hospital ER & d/c. On approx 4/10 had an episode of urinary incontinence. Neuro exam was WNL except for slightly antalgic gait. 06/11/2009: This is in follow-up to report(s) previously submitted on 7/6/2007. Initial and follow-up information has been received from a immunization coordinator and a physician concerning a 12 year old female student with a sulfa allergy with a rash many years ago and no other medical history who on 27-MAR-2007 at 11:30 was vaccinated intramuscularly in the left arm with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot #655618/0186U). There was no concomitant medication. ON 12-APR-2007, the patient presented with progressive weakness of her lower extremities, one episode of incontinence and paraesthesias of both legs. On 12-APR-2007, at school, the patient noted that her legs started to shake and that she could not feel her legs well. She went to the nurse and was transferred to the hospital emergency room because of numbness in her legs and associated weakness. These events were also reported as "about two months post vaccination, sometime in May 2007, the patient could not walk and was complaining of leg pain." Over the course of that day, the patient was aware of numbness along both of her shins and persistence of that numbness over the following week though it spread to the anterior d

VAERS ID:	277639	Vaccination Date:	2007-04-24
Age:	12.0	Onset Date:	2007-04-25 Days later: 1
Gender:	Female	Submitted:	2007-04-30
State:	Pennsylvania	Entered:	2007-04-30

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Apparently healthy

Diagnostic Lab Data: Strep test was negative. Afternoon temperature tests by Dr. office on 4/27 and 4/30 showed no fever. AM temperature at home on 4/30 showed no fever.

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None -- she does have a bit of hayfever

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	HPV	0		R

Administered by: Private Purchased by: Unknown

Symptoms: Body temperature, Cough, Dizziness, Headache, Pharyngolaryngeal pain, Pyrexia, Streptococcal identification test negative, Viral infection

Write-up: Within 12 hours of vaccine, patient had 102 degree fever. First day symptoms were also headache, dizzy, sore throat. Morning fever last multiple days. Today, 6 days later, fever is gone, throat is raw with cough, strep test is negative, patient is ill. Dr. believes it is a viral infection, but cannot determine if related to vaccine or independent cause.

VAERS ID:	281968	Vaccination Date:	2007-06-13
Age:	12.0	Onset Date:	2007-06-13 Days later: 0
Gender:	Female	Submitted:	2007-06-15
State:	Colorado	Entered:	2007-06-15

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Strattera 25mg

Preexisting Conditions: ADHD inattentive type

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0		RA
MNQ	SANOFI PASTEUR		0		LA
VARCEL	UNKNOWN MANUFACTURER		1		LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Convulsion, Dizziness, Fatigue, Headache, Pain in extremity, Pruritus, Syncope, Urticaria

Write-up: She fainted after the administration of the last of three vaccines administered that day. The third was the HPV Vaccine. She had on convulsion as she came to. 36 hours after the vaccine she started having intense itching which broke in to hives after about 48 hours. She was very tired, dizzy, and had a bad headache and sore arms for the 24 hours following the vaccines.

VAERS ID:	282414	Vaccination Date:	2007-06-19
Age:	11.0	Onset Date:	2007-06-19 Days later: 0
Gender:	Female	Submitted:	2007-06-20
State:	Florida	Entered:	2007-06-20

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: CBC BLOOD TEST, RESULTS- WBC-6.6;LY-21.8;MO-27.1;GR-51.1;LY-1.4;MO-1.8 & 2 PHYSICIANS CHECKING HER OUT AFTER SHOTS WERE ADMINISTERED

Previous Vaccinations: Christina Aponte~ ()~~11~In Patient

Other Medications:

Preexisting Conditions: Environmental allergies, Chronic asthma, has sensitivity to prlone, & albuterol & allergic to Loribid

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	RA
MNQ	SANOFI PASTEUR	O2351AA	0	UN	RA
TD	UNKNOWN MANUFACTURER		0	UN	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Asthenia, Dizziness, Full blood count, Granulocyte count increased, Headache, Monocyte count increased, Pain, Pyrexia, White blood cell count

Write-up: 102 fever, headache, dizziness, weak, body aches.Given Motin 200mg(1) for fever & aches

VAERS ID:	282608	Vaccination Date:	2006-11-29
Age:	16.0	Onset Date:	2006-11-29 Days later: 0
Gender:	Female	Submitted:	2007-06-21
State:		Entered:	2007-06-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Unknown

Diagnostic Lab Data: UNK

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type': B0475795A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEP	GLAXOSMITHKLINE BIOLOGICALS	ABVB221BA
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Other Purchased by: Other

Symptoms: Crying, Dyspnoea, Swollen tongue

Write-up: This case was reported by a regulatory authority and described the occurrence of difficulty breathing in a 16-year-old female subject who was vaccinated with Engerix B and HPV vaccine. On 29 November 2006, the subject received a single dose of Engerix B (intravenous) a single dose of HPV vaccine. Thirty minutes after vaccination with Engerix B and HPV vaccine, the subject experienced crying difficulty breathing and swollen tongue. The regulatory authority reported that the events were clinically significant (or requiring intervention). The subject was treated with Piriton. At the time of reporting the outcome of the events were unspecified.

VAERS ID:	283673	Vaccination Date:	2007-07-03
Age:	13.0	Onset Date:	2007-07-03 Days later: 0
Gender:	Female	Submitted:	2007-07-04
State:	South Carolina	Entered:	2007-07-04

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: stye on right eye

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Malarone 250-100 mg tablet GSK

Preexisting Conditions: allergies to turkey, lamb, lobster

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unknown	0	UN	RA

Administered by: Unknown Purchased by: Unknown

Symptoms: Pruritus, Rash, Urticaria

Write-up: Broke out in hives and large patchy spots over her body with sever itching. She was take to the hospital where they gave her a eppy pin injection and benedryl.

VAERS ID:	285001	Vaccination Date:	2007-07-17
Age:	13.0	Onset Date:	2007-07-18 Days later: 1
Gender:	Female	Submitted:	2007-07-18
State:	Pennsylvania	Entered:	2007-07-18

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data: EKG - normal, tachy; RA Po2 was 94%

Previous Vaccinations:

Other Medications: loratadine 10 mg. daily

Preexisting Conditions: seasonal allergies

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER
VARCEL	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Unknown

Symptoms: Body temperature increased, Chest pain, Cough, Dyspnoea, Electrocardiogram normal, Headache, Heart rate increased, Myalgia, PO2 normal, Tachycardia

Write-up: Came to ER at 10:09 7/18/07 with complaints of chest pain of severity of 5 on a scale of 0-5 (5 being worst pain) Stated it started at 9 a.m. 7/18/07. VS 100.9 - 111-18 109/73 room air sat was 94%. Other complaints were cough, headache, and trouble breathing. EKG was normal - tachy. Diagnosis by ER physician - mylagia, possible reaction to vaccine. Given 1 gram tylenol. Instructed to return if wheezing or rash.

VAERS ID:	286082	Vaccination Date:	2007-07-26
Age:	16.0	Onset Date:	2007-07-26 Days later: 0
Gender:	Female	Submitted:	2007-07-26
State:	Kentucky	Entered:	2007-07-26

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations: syncope~Hep A (no brand name)~1~16.20~In Patient

Other Medications: none

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unk	0	IM	LA

Administered by: Military Purchased by: Unknown

Symptoms: Eye rolling, Grunting, Loss of consciousness

Write-up: Received a Gardasil shot. Was talking for about 20 secs, said she was going down and she was out. Nurse ran to get ammonia capsule. Eyes rolled back in her head, arms drew up, making grunting sounds, was out around 45 secs. Took about 20 secs to get her back with the ammonia.

VAERS ID:	286575	Vaccination Date:	2007-07-23
Age:	12.0	Onset Date:	2007-07-24 Days later: 1
Gender:	Female	Submitted:	2007-08-02
State:	Florida	Entered:	2007-08-02

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: normal

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	SANOFI PASTEUR	ac52b0012aa	5	IM	RA
HEPA	UNKNOWN MANUFACTURER		0	IM	LA
HPV	UNKNOWN MANUFACTURER		0	IM	LA
MNQ	SANOFI PASTEUR	u2172aa	0	IM	RA
VARCEL	UNKNOWN MANUFACTURER		1	IM	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling

Write-up: Shot site very swollen and painfull. Size of a small egg. Surrounding skin (6 - 7 inches in diameter) very red and itchy. Swelling susideded after 48- 72 hours. Redness remained for 5 days.

VAERS ID:	287579	Vaccination Date:	2007-07-17
Age:	12.0	Onset Date:	2007-07-17 Days later: 0
Gender:	Female	Submitted:	2007-07-18
State:	Pennsylvania	Entered:	2007-08-09

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Tylenol 1000mg

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0
MNQ	SANOFI PASTEUR		0
TD	UNKNOWN MANUFACTURER		0
VARCEL	UNKNOWN MANUFACTURER		0

Administered by: Public Purchased by: Unknown

Symptoms: Hyperhidrosis, Nausea, Pallor, Presyncope

Write-up: Patient turned pale. felt nauseous, and broke out in a sweat for approximately 5 minutes. Patient almost passed out. *As her mother, I believe the long-term benefits of this drug far outweigh the risks.

VAERS ID:	287841	Vaccination Date:	0000-00-00
Age:	9.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2007-08-12
State:	Virginia	Entered:	2007-08-12

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data: Patient has had blood work done and other tests with no help

Previous Vaccinations:

Other Medications: at this time she is on no other medications only over the counter flinstone vitimans with iron

Preexisting Conditions: Truncusaterious Type 1 1/2 with complications & Antiphosphilipid Syndrom ( wich in in remission at the moment )

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Blood test, Erythema, Pruritus, Rash

Write-up: Patient has developed spots on her legs that are bothering her , itching and red and not clearing up since she has recieved the Gardasil shots , she is also a heart patient with Truncusaterious Aterious type 1 1/2 with complications & also in remission for Antiphospholipid syndrom.. i dont know if any of these mixed with the Gardasil has made it possible for her to have a reaction but i would appricatiate if you could look into this matter , she does not have the spots anywhere but on her legs and they are getting worse , her doctor as listed above does not seem to be able to find solution to this

VAERS ID:	288595	Vaccination Date:	2007-08-20
Age:	17.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2007-08-21
State:	North Carolina	Entered:	2007-08-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: pain at the injection site.

Diagnostic Lab Data: none

Previous Vaccinations:

Other Medications: seroquel, 50mg

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	RA
MNQ	SANOFI PASTEUR	u2578aa		IM	RA
TDAP	UNKNOWN MANUFACTURER		0	IM	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Abdominal pain upper, Headache, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia

Write-up: pain at the injection site.redness and swelling at the injection site. moderate fever(102 F). headache. stomach ache.

VAERS ID:	288637	Vaccination Date:	0000-00-00
Age:	19.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2007-08-21
State:	Pennsylvania	Entered:	2007-08-22

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: CBC; HIV

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			SC	UN

Administered by: Public Purchased by: Other

Symptoms: Full blood count, HIV antibody negative, White blood cell count decreased

Write-up: Decreased WBC (2.1) now resolved (4 wks)

VAERS ID:	288992	Vaccination Date:	2007-08-23
Age:	17.0	Onset Date:	2007-08-24 Days later: 1
Gender:	Female	Submitted:	2007-08-25
State:	Washington	Entered:	2007-08-25

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER		0		UN
HPV	UNKNOWN MANUFACTURER		0		UN
MEN	UNKNOWN MANUFACTURER		0		UN
TDAP	UNKNOWN MANUFACTURER		0		UN

Administered by: Private Purchased by: Unknown

Symptoms: Chills, Dizziness, Dyspnoea, Fatigue, Headache, Hypoaesthesia, Malaise, Pain, Pyrexia

Write-up: The day after receiving the meningococcal vaccine (she also received HPV,Hep A & Tdap at the same time)she woke up not feeling well. As the day progressed she got a 102.5 fever, chills, headache, whole body ache, difficulty breathing and her hands felt numb at times. This lasted until the next day. She felt better the next day but still felt tired, some what achy and dizzy at times. By the next day she felt normal again. I gave her ibuprofen, which brought the fever down some and somewhat helped with the aches. I did not take her in to the doctors office. She received two shots in the left arm and two in the right (which ones in each, I do not know). I clicked unkown manufacturer below, because I do not know what was used.

VAERS ID:	289333	Vaccination Date:	2007-08-27
Age:	15.0	Onset Date:	2007-08-27 Days later: 0
Gender:	Female	Submitted:	2007-08-29
State:	Michigan	Entered:	2007-08-29

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: N/A

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: IBD

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER	unknown	0	IM	UN
HPV	UNKNOWN MANUFACTURER	unknown	0	IM	UN
MNC	UNKNOWN MANUFACTURER	unknown	0	IM	UN
VARCEL	UNKNOWN MANUFACTURER	unknown	1	IM	RA

Administered by: Unknown Purchased by: Unknown

Symptoms: Headache, Injection site erythema, Injection site swelling, Injection site warmth, Malaise, Pain in extremity

Write-up: At injection site there was immediate swelling, redness and skin/muscle was hot to touch. Patient experienced a fairly intense headache, her entire arm was quite painful and she was not feeling well ingeneral. This lasted for several days. PLEASE NOTE: HEP A IMMUNIZATION WAS ADMINISTERED ON THE SAME DATE AT A DIFFERENT LOCATION (PUBLIC HEALTH CLINIC).

VAERS ID:	290155	Vaccination Date:	2007-09-07
Age:	13.0	Onset Date:	2007-09-07 Days later: 0
Gender:	Female	Submitted:	2007-09-09
State:	Pennsylvania	Entered:	2007-09-09

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: allergic to penicillin

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER		0	IM	RA
HPV	UNKNOWN MANUFACTURER		0	IM	LA

Administered by: Private Purchased by: Private

Symptoms: Urticaria

Write-up: Developed hives all over neck and arms approximately 4 hours after the shot. Benadryl was administered and the hives subsided. They returned the next day and were treated again with Benadryl

VAERS ID:	290653	Vaccination Date:	2007-09-07
Age:	11.0	Onset Date:	2007-09-07 Days later: 0
Gender:	Female	Submitted:	2007-09-15
State:	Minnesota	Entered:	2007-09-15

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER
TDAP	UNKNOWN MANUFACTURER
VARCEL	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Unknown

Symptoms: Asthenia, Dyskinesia, Dysphonia, Fall, Headache, Pallor, Speech disorder, Syncope

Write-up: Nurse had my daughter sitting on the edge of the exam table. She administered HPV and my daughter fainted, fell off exam table head first and had a mild jerking episode. She was pale and had a headache when she woke up. She was hoarse and weak and couldn't speak easily.

VAERS ID:	290915	Vaccination Date:	2007-09-19
Age:	17.0	Onset Date:	2007-09-19 Days later: 0
Gender:	Female	Submitted:	2007-09-19
State:	Pennsylvania	Entered:	2007-09-19

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	0927U	1	IM	UN
VARCEL	UNKNOWN MANUFACTURER	0722U

Administered by: Private Purchased by: Public

Symptoms: Anaphylactic reaction, Chest discomfort, Throat tightness, Wheezing

Write-up: Patient had anaphylaxis. About 20 to 30 minutes after her immunizations, patient complained of her 'throat closing' and chest tightness. EMS arrived and felt the patient was wheezing, so gave an Albuterol treatment and a dose of Benadryl. When the patient arrived in the ED about 20 minutes later, she no longer had chest pain or difficulty breathing. Her vitals signs were stable, on exam she was not wheezing nor had any rash. We gave her a dose of steriod and H2 blocker and observed her for 6 hours after the event. No further events occured. Patient was discharged on steroids and benadryl.

VAERS ID:	291644	Vaccination Date:	2007-09-20
Age:	17.0	Onset Date:	2007-09-21 Days later: 1
Gender:	Female	Submitted:	2007-09-28
State:	New Jersey	Entered:	2007-09-28

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: TAKES PAXIL 10 MG DAILY

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Dizziness

Write-up: PATIENT WAS DIZZY FOR 3 DAYS AFTER SHE RECEIVED 2ND HPV VACCINE

VAERS ID:	292439	Vaccination Date:	2007-10-02
Age:	14.0	Onset Date:	2007-10-03 Days later: 1
Gender:	Female	Submitted:	2007-10-08
State:	Washington	Entered:	2007-10-08

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: sulfa drugs

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	LA
VARCEL	UNKNOWN MANUFACTURER		1	UN	LA

Administered by: Private Purchased by: Private

Symptoms: Injection site nodule, Pruritus, Skin warm

Write-up: Resulted in approx 2"X3" bump at injection site on left arm. Very itchy, hot to the touch. Lasted 2.5-3 days.

VAERS ID:	292485	Vaccination Date:	2007-09-21
Age:	13.0	Onset Date:	2007-09-21 Days later: 0
Gender:	Female	Submitted:	2007-10-05
State:	North Carolina	Entered:	2007-10-09

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Asthma, Hypothyroidism, sleep apnea, bipolar disorder

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1060U	0		LA
MEN	UNKNOWN MANUFACTURER	U2329AA	0		LA
TDAP	UNKNOWN MANUFACTURER	AC52BB13AA	0		RA
VARCEL	MERCK & CO. INC.	0854U	1		RA

Administered by: Private Purchased by: Public

Symptoms: Injection site erythema, Injection site pain, Injection site swelling

Write-up: Right arm swelling at site, pain redness at site within 6-8 degrees of shots ER visit. Return to clinic 9/25/07 Zyrtec and Prednisone.

VAERS ID:	293872	Vaccination Date:	2007-10-18
Age:	12.0	Onset Date:	2007-10-19 Days later: 1
Gender:	Female	Submitted:	2007-10-21
State:	Washington	Entered:	2007-10-22

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Monica was in good health at the time of the vaccination.

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER
MEN	UNKNOWN MANUFACTURER
TDAP	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Asthenia, Crying, Headache, Nausea, No reaction on previous exposure to drug, Urticaria

Write-up: Patient has felt weak, nauseated and has broken out in hives repeatedly since she received her immunizations 3 days ago. She was given 4 shots in the same day, TDAP, HEP A, HPV, and Meningococcal. She has not had an allergic reaction to any previous immunizations, nor has she had hives or rashes as reactions to any substance in the past. At the outbreak of the hives we have treated her with the maximum dose of Benadryl which has controlled the rash temporarily, however, it has returned twice. On the third day she began complaining of a severe headache, so bad she began to cry uncontrollably. We gave her ibuprofen and within an hour her headache had improved.

VAERS ID:	296323	Vaccination Date:	2007-11-20
Age:	17.0	Onset Date:	2007-11-20 Days later: 0
Gender:	Female	Submitted:	2007-11-10
State:	Georga	Entered:	2007-11-10

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: ongoing sinus infection - no fever

Diagnostic Lab Data: xrays, haven't received results yet (11/10/07);

Previous Vaccinations:

Other Medications: Unknown

Preexisting Conditions: none

CDC 'Split Type': WAES0801USA01707

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	UNKNOWN MANUFACTURER		5	UN	RA
HPV	UNKNOWN MANUFACTURER	1287U	2	IM	RA

Administered by: Private Purchased by: Private

Symptoms: Cold sweat, Dyspnoea, Injection site pain, Loss of consciousness, Pain in extremity, Sleep disorder, Syncope, X-ray

Write-up: Patient received 3rd HPV vaccine and flu shot in right upper arm on 10/19/07. At time vaccine (HPV first) was given she experienced extreme pain described as a line down her arm into her thumb. Patient asked Kaiser employee to wait until the pain subsided some before giving the flu shot. Flu shot was then given in same arm a couple of minutes later. Over the course of the next few weeks, the pain somewhat subsided in the whole arm and was more above the elbow to the injection site. The pain has been so extreme that it has woken the patient from sleep on 3 occasions. Returned to Dr on November 7, 2007 for an evaluation. Dr. ordered shoulder xrays, physical therepy, 600 MG ibuprofin 3X a day until further notice and would consult with another doctor and be in touch about recommendations for further assessment. NOTE:parent observation of injection was that the injection was given in a manner of puncture/poke like compared to more of a pushing the injection into the arm. There was no 'squeezing' of the muscle/arm prior to injection. This is in follow-up to report(s) previously submitted on 2/14/2008. Information has been received from a physician concerning a 17 year old female who on 20-NOV-2007 was vaccinated IM into his left deltoid with a first dose of GARDASIL (lot#655327/1287U). Within 15 minutes, the patient fainted and stopped breathing for a moment. It was reported that the patient sat for 15 minutes and when she walked into the waiting room she passed out for about a minute. The patient was conscious but not talking and clammy. After 10 minutes (approximately) of being monitored the patient became talkative and laughd about what happened with her mother. An ambulance was called but the patient was not admitted to the hospital. Unspecified medical attention was sought. On 20-NOV-2007, the patient recovered. No product quality complaint was involved. Additional information is not expected.

VAERS ID:	297362	Vaccination Date:	2007-11-19
Age:	19.0	Onset Date:	2007-11-19 Days later: 0
Gender:	Female	Submitted:	2007-11-20
State:	Colorado	Entered:	2007-11-20

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Blood pressure decreased, Dizziness, Dysarthria, Hypoaesthesia, Hypokinesia, Nausea, Pallor, Peripheral coldness, Posture abnormal, Visual disturbance

Write-up: Minutes after receiving the HPV, patient beacme pale and dizzy. She then felt like her head was on fire, vision went black,couldn't hold up her head, couldn't move her body, speech slurred, felt like fainting, head kept dropping, left arm "asleep" and fingers cold, nauseus, blood pressure drop.

VAERS ID:	297670	Vaccination Date:	0000-00-00
Age:		Onset Date:	0000-00-00 Days later:
Gender:		Submitted:	2007-11-21
State:	Unknown	Entered:	2007-11-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Rash

Write-up: rash

VAERS ID:	298886	Vaccination Date:	2007-11-14
Age:	13.0	Onset Date:	2007-11-25 Days later: 11
Gender:	Female	Submitted:	2007-12-06
State:	Unknown	Entered:	2007-12-06

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? Yes, 3 days

Extended hospital stay? No

Current Illness: Unknown

Diagnostic Lab Data: Body temperature 27Nov2007 39.4C, Body temperature 27Nov2007 38.6C, White blood cells 27Nov2007 17.1 Rash diagnosed as macropapular with hives.

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type': B0497683A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		2	IM	LA

Administered by: Other Purchased by: Other

Symptoms: Asthenia, Body temperature increased, Headache, Malaise, Myalgia, Rash, Rash papular, Serum sickness, Urticaria, White blood cell count increased

Write-up: This female subject was enrolled in the prophylactic open study 107682 (HPV-018). On 02 April 2007, the subject received the 1st dose of HPV 16 and 18 (IM left upper deltoid), the dose of Aventis Pasteur's Menactra (IM, right lower deltoid) and the dose of Boostrix (IM right upper deltoid). On 08 May 2007 and 14 November 2007, the subject received the 2nd and 3rd dose of HPV (IM left upper deltoid). On 25 November 2007, 11 days after the 3rd of HPV 16-18, seven months after the 1st dose of Boostrix and seven months after the 1st dose of Menactra, this 13-year-old subject developed febrile rash. The subject was hospitalised. The subject was treated with adrenaline, diphenhydramine hydrochloride and corticosteroid. The event was unresolved at time of reporting. The investigator considered there was no reasonable possibility that the febrile rash may have been caused by Boostrix or Menactra but the investigator considered that there was a reasonable possibility that the febrile rash may have been caused by HPV 16-18. Investigator Comments: On 21 November 2007, the subject stated she had headache, muscle pain and weakness. On 25 November 2007, the rash started on legs during the evening. On 26 November 2007, the subject came to clinic with a rash covering most of her body. Given Epinephrine and told to take Benadryl. Return to clinic on 27 November 2007 in AM. On 27 November 2007, the rash was worse, subject had temperature of 39.4 C and general malaise. She was sent to hospital ER for evaluation where she was admitted. Per mother, the subject was given a steroids IV and discharged with Prednisone and Motrin. Information received on 28 November 2007 following a phone call with her grandmother; the subject had a temperature of 38.6 C yesterday afternoon. She stated that she was admitted for 3 days of treatment. The doctors there felt it was related to the HPV vaccine. The subject was feeling better and the rash has decreased. On 28 November 2007, the subject was going to be discharged in this afternoon. She stated th

VAERS ID:	299071	Vaccination Date:	2007-12-06
Age:	16.0	Onset Date:	2007-12-07 Days later: 1
Gender:	Female	Submitted:	2007-12-08
State:	New Jersey	Entered:	2007-12-08

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		1	IM	LA
TDAP	UNKNOWN MANUFACTURER			IM	RA

Administered by: Private Purchased by: Unknown

Symptoms: Crying, Headache, Pain in extremity, Pyrexia

Write-up: C/O pain in both arms and legs, severe headache and fever....crying...gave tylenol and slept for 16 hours

VAERS ID:	300558	Vaccination Date:	2007-09-11
Age:	10.0	Onset Date:	2007-09-27 Days later: 16
Gender:	Female	Submitted:	2007-12-20
State:	Ohio	Entered:	2007-12-20

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	RA

Administered by: Private Purchased by: Private

Symptoms: Biopsy skin, Blood test normal, Eczema, Pityriasis rosea, Rash, Skin depigmentation, Swelling

Write-up: Daughter received HPV on 09/11/2007. 2 weeks after receiving the vaccine she started breaking out in a rash on her chest. It rapidly spread to her back, up her neck, her face and covered her entire trunk within a few days. It continued to spread into her groin area, her arms, and her legs down to her ankles. This all took place starting 09/27/2007. I had to to her PCP, whom she received the shot and to a dermatologist, who first diagnosed her with Pitariosis Rosea. The dermatologist did a biopsy and came back with "eczema". The rash continued to break out until there was barely any skin NOT covered with this rash. My daughter started swelling. I immediately demanded full blood work up. All of the counts came back as normal. I scheduled an appointment with an allergist, thinking that maybe she was allergic to something. All tests were negative. The only way we got her cleared up was with Prednisone. After she did her round with Prednisone, she broke out again, but not as extreme. My daughter had this rash for 2 months. She is now scared from the biopsy and during all of this she has "white spots" where the pigment in her skin is gone. She is possibly scared for life.

VAERS ID:	301402	Vaccination Date:	2007-12-27
Age:	1.5	Onset Date:	0000-00-00 Days later:
Gender:	Male	Submitted:	2008-01-02
State:	South Dakota	Entered:	2008-01-02

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: None

Previous Vaccinations: None noted~HPV (no brand name)~1~~In Patient

Other Medications: None

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER

Administered by: Public Purchased by: Private

Symptoms: Medication error, Wrong drug administered

Write-up: Wrong vaccine administered to patient. No adverse symptoms noted.

VAERS ID:	302664	Vaccination Date:	2007-10-05
Age:	17.0	Onset Date:	2007-11-15 Days later: 41
Gender:	Female	Submitted:	2008-01-10
State:	Michigan	Entered:	2008-01-14

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? Yes, 1 days

Extended hospital stay? No

Current Illness:

Diagnostic Lab Data: platelet count dropped to 8000; lab results avail. if necessary 1/16/08-records received-CT brain normal. 4/28/08-Pathology Report for DOS 1/2/08-Peripheral Blood Smear: Red Blood Cells normochromic and normocytic in appearance. White bl

Previous Vaccinations:

Other Medications: birth control pills

Preexisting Conditions: 1/16/08-records received-HX of heavy periods for past 1 1/2 years treated with hormone medication. HX of recent dental cleaning with gums bleeding 'too much'.

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Public Purchased by: Public

Symptoms: Blood product transfusion, Computerised tomogram normal, Contusion, Headache, Lymphocyte count decreased, Musculoskeletal discomfort, Nausea, Neutrophil count increased, Photophobia, Platelet count decreased, Platelet transfusion, Thrombocytopenia, White blood cell count normal

Write-up: 1-2-08-Diag. with thrombocytopenia, platelet count dropped to 8000. Plt transfusion x2. Easy bruising began Nov. 07. 1/16/08-records received for DOS 1/4/08-consultation for C/O headache since 1/3/08 now improved-admitted on 1/3/08-with easy bruising and platelet count of 7000. No other systemic symptoms. While receiving treatment with IV gamma globulin, C/O severe headache, throbbing with sensitive to bright lights and some nausea. Saw spots in her eyes. Denies neck stiffness, but has some mild neck discomfort.

VAERS ID:	303366	Vaccination Date:	2008-01-04
Age:	14.0	Onset Date:	2008-01-05 Days later: 1
Gender:	Female	Submitted:	2008-01-16
State:	California	Entered:	2008-01-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None known

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		2	UN	LA

Administered by: Private Purchased by: Unknown

Symptoms: Hypoaesthesia, Injection site pain

Write-up: Pt received HPV #3 on 1/4/08, has had continued pain at inj site since day after vaccine. On approx 1/9/08 developed "numbness" in hand (small & ring finger) which has persisted. On 1/16/08 reports spreading "numbness" to middle finger. Injection & numbness both on pts left upper extremity.

VAERS ID:	304343	Vaccination Date:	2007-12-19
Age:	24.0	Onset Date:	2008-01-17 Days later: 29
Gender:	Female	Submitted:	2008-02-05
State:	Kentucky	Entered:	2008-02-05

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Yasmin

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Injection site mass

Write-up: One month after having the HPV (Gardisal) vaccine administered at her doctor's office at home she developed a raised mass at the site (Left upper arm)2.5 cm in diameter round. She was treated with warm compresses and Keflex 500 mg 4 times daily for 10 days

VAERS ID:	305428	Vaccination Date:	0000-00-00
Age:	18.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2008-02-14
State:	Texas	Entered:	2008-02-19

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: None

Previous Vaccinations:

Other Medications: DEPAKOTE; SEASONALE; LAMICTAL

Preexisting Conditions: Convulsion

CDC 'Split Type': WAES0801USA00892

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		1	UN	UN
HPV4	MERCK & CO. INC.	0523U	0	IM	UN

Administered by: Other Purchased by: Other

Symptoms: Pharyngeal oedema, Urticaria, Vaccine positive rechallenge

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with seizure disorder who on 16-JUL-2007 was vaccinated IM with a 0.5 ml first dose of GARDASIL (lot #657868/0523U). Concomitant therapy included DEPAKOTE, SEASONALE and LAMICTAL. Subsequently the patient experienced hives and "throat swelling." Subsequently, the patient recovered. On an unspecified date, the patient was vaccinated with a second dose of GARDASIL. Subsequently the patient experienced hives and "throat swelling." Subsequently, the patient recovered. The patient reported the event at an unrelated office visit. Additional information has been requested.

VAERS ID:	306054	Vaccination Date:	2008-02-27
Age:	17.0	Onset Date:	2008-02-27 Days later: 0
Gender:	Female	Submitted:	2008-02-28
State:	New Mexico	Entered:	2008-02-28

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: Penicillin

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	Unknown	0	UN	LA

Administered by: Private Purchased by: Unknown

Symptoms: Headache, Loss of consciousness, Mydriasis, Pallor, Tinnitus, Visual disturbance

Write-up: 20 minutes after receiving the injection, my child told me that she couldn't see and that her ears were ringing. She was extremely pale and her pupils were fully dialated. She passed out and was assisted by a nurse at the doctor's office. No further treatment was administered. My child complained of an moderate headache that evening. All symptoms were resolved by this morning.

VAERS ID:	306680	Vaccination Date:	2007-11-01
Age:	19.0	Onset Date:	2007-12-01 Days later: 30
Gender:	Female	Submitted:	2008-03-07
State:	Colorado	Entered:	2008-03-07

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: Several diagnostic labs including internal and external cultures / smears

Previous Vaccinations:

Other Medications:

Preexisting Conditions: asthma

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Unknown

Symptoms: Culture, Fungal infection, Injection site pain, Laboratory test, Smear test

Write-up: At the time of the injection (date is uncertain) and soon afterward only pain at site were a problem. Within a week or so, a stubborn yeast infection started that is still recurring and never quite clears up even today, 4 months later, with agressive physician care and prolonged internal and external medical treatment. As the HPV vaccine is yeast based, I believe there is a definite correlation. There is no history previously of recurrent yeast infections in her.

VAERS ID:	308432	Vaccination Date:	2008-03-27
Age:	15.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2008-03-27
State:	California	Entered:	2008-03-27

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Convulsion, Gaze palsy, Mydriasis, Syncope

Write-up: Within a minute of Gardisil Vaccine she fainted with eyes open and dilated at full extend, started comvulsing for 5 seconds, eyes started to shake also

VAERS ID:	308712	Vaccination Date:	2008-03-31
Age:	18.0	Onset Date:	2008-03-31 Days later: 0
Gender:	Female	Submitted:	2008-04-01
State:	Illinois	Entered:	2008-04-01

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations: none~ ()~NULL~~In Patient

Other Medications: none

Preexisting Conditions: none but her father's sister had guimome/barre syndrome

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			IM	LA
MEN	UNKNOWN MANUFACTURER			IM	RA

Administered by: Private Purchased by: Private

Symptoms: Cold sweat, Convulsion, Dyskinesia, Feeling hot, Gaze palsy, Hyperhidrosis, Malaise, Musculoskeletal stiffness, Pallor, Peripheral coldness, Pyrexia

Write-up: Within 5 minutes of the shots, my daughter walked out to the waiting room, sat next to me, told me what shots she had, said she needed some water, looked like not feeling well, I fanned her with the papers,her eyes rolled back, she stiffened, her body jerked, looked like a convulsion, it lasted less than a minute, as nurses and doctor came out to check her, her body relaxed, eyes were still closed, she said she had a dream. Her head was very hot, her hair got wet with sweat, hands were cold and clammy. Nurse said she fainted but I disagreed. In fainting, the body goes limp and drops. She went stiff and stayed above the chair, never fell. We gave her water, waited for about 15 minutes, nurse checked her blood pressure and let us go. When she came home she slept soundly for 1 hour. Later in the evening, she still had a low fever. The next day her coloring is still pale.

VAERS ID:	308719	Vaccination Date:	2007-11-21
Age:	19.0	Onset Date:	2007-11-20 Days later: -1
Gender:	Female	Submitted:	2008-04-01
State:	Wisconsin	Entered:	2008-04-01

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: Pneumonia - cough - chest x-ray effusion +/- sm. right pleural right lower lobe pneumonia.

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Public Purchased by: Other

Symptoms: Chest X-ray abnormal, Cough, Dysphonia, Dyspnoea, Lobar pneumonia, Musculoskeletal stiffness, Pharyngolaryngeal pain, Pleural effusion, Pyrexia

Write-up: HPV given 11/20/07 - In UC 11/25/07 with 5 days of cough, hoarseness, fever. Non-productive cough - sore throat, stiff neck - hurting to take deep breath.

VAERS ID:	308909	Vaccination Date:	2008-04-04
Age:	13.0	Onset Date:	2008-04-04 Days later: 0
Gender:	Female	Submitted:	2008-04-04
State:	Pennsylvania	Entered:	2008-04-04

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER		1	UN	RA
HPV	UNKNOWN MANUFACTURER		2	UN	LA

Administered by: Private Purchased by: Unknown

Symptoms: Back pain, Vomiting

Write-up: Amanda received the third dose of HPV and her second dose of Hepatitis A yesterday, April 3, 2008, around 3:30 p.m. She was feeling totally fine, no problems. On Friday, April 4, 2008, I received a call from her school to pick her up due to vomiting and lower back pain. She left for school feeling fine and I received the call about one hour later-8:45a.m.

VAERS ID:	309244	Vaccination Date:	2007-04-30
Age:	33.0	Onset Date:	2007-04-30 Days later: 0
Gender:	Female	Submitted:	2008-04-10
State:	Unknown	Entered:	2008-04-10

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? Yes, 3 days

Extended hospital stay? No

Current Illness:

Diagnostic Lab Data: A MRI of the brain performed the same day was suspicious for an early demyelinating process. The cervical spine MRI was within normal limits, as were the visual evoked potentials and the brainstem evoked potentials. On 01 May 2007, the MR

Previous Vaccinations:

Other Medications: Since 2000, the subject was taking bupropion hydrochloride (for depression), was taking omeprazole since 01 April 2007 (for gastroesophageal reflux disease), and used baclofen and Vicodin for chronic pain control.

Preexisting Conditions: The subject has a medical history of tension headaches, anxiety-depressionbipolar disorder, reflux esophagitis and gastroeseophageal reflux disease. In 2005, she was diagnosed with chronic lower back pain associated with disc disease. In November 2006, the subject developed migrainous headache for which a CAT scan of the head without contrast was unremarkable on 01 March 2007.

CDC 'Split Type': B0470726A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		1	UN	UN

Administered by: Other Purchased by: Other

Symptoms: Back pain, Brain stem auditory evoked response normal, Demyelination, Intervertebral disc disorder, Migraine, Nuclear magnetic resonance imaging brain abnormal, Nuclear magnetic resonance imaging normal, Spinal X-ray normal, Vision blurred, Visual evoked potentials normal

Write-up: This 33-year old female subject was enrolled in the prophylactic observer blind study 108933 (HPV-010) which compares GSK's Human Papillomavirus type 16 and 18 vaccine to Merck's GARDASIL. She received three doses of blinded vaccine on 21 February 2007, 28 March 2007 and 30 April 2007. The subject has a medical history of tension headaches, anxiety-depression bipolar disorder, reflux esophagitis and gastrooesophageal reflux disease. In 2005, she was diagnosed with chronic lower back pain associated with a disc disease. In November 2006, the subject developed migrainous headache for which a CAT scan of the head without contrast was unremarkable on 01 March 2007. Since 2000, the subject was taking bupropion hydrochloride (for depression), was taking Omeprazole since 01 April 2007 (for gastrooesophageal reflux disease), and used baclofen and vicodin for chronic pain control. On 30 April 2007, 33 days after the second of vaccine and on the same day as the third dose of vaccine, the subject went to the emergency room because of blurred vision. A MRI of the brain performed the same day was suspicious for an early demyelinating process. The cervical spine MRI was within normal limits, as were the visual evoked potentials and brainstem evoked potentials. She was treated with sodium chloride, prednisone and methylpredisolone sodium succinate for treatment of multiple sclerosis. Following this treatment, the double vision resolved. On 01 May 2007, the MRI of the cervical spine with and without contrast was negative. She was discharged from the hospital on 02 May 2007. At the time of reporting, the event was unresolved. The subject is being followed by a neurologist. The investigator considered there was no reasonable possibility that the multiple sclerosis may have been caused by the administration of the investigational product. Expert review: A blinded review of the case by an independent expert did not support the diagnosis of multiple sclerosis as this diagnosis required a dissemination of lesions in space and time. Th

VAERS ID:	309381	Vaccination Date:	2008-04-11
Age:	18.0	Onset Date:	2008-04-11 Days later: 0
Gender:	Female	Submitted:	2008-04-13
State:	Texas	Entered:	2008-04-13

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unknown	2	IM	LA

Administered by: Public Purchased by: Unknown

Symptoms: Headache, Pyrexia, Vomiting

Write-up: Vomiting, headache, fever of 102' Lasted fro 24 hrs

VAERS ID:	310289	Vaccination Date:	2003-01-10
Age:	19.0	Onset Date:	2003-05-27 Days later: 137
Gender:	Female	Submitted:	2008-04-18
State:		Entered:	2008-04-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: chest computed axial tomography, 16May03, mediastinal tumor; biopsy, 27May03, morbus Hodgkin nodula sclerose stadium 11A; chest computed axial tomography, 04Aug03, strong decrease of the glandules on neck and the mediastinal tumor

Previous Vaccinations:

Other Medications: Unknown

Preexisting Conditions: None

CDC 'Split Type': WAES0804USA03544

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Computerised tomogram abnormal, Hodgkin's disease, Lymphadenopathy, Lymphatic system neoplasm, Malignant mediastinal neoplasm, Mediastinal mass, Nasopharyngitis, Radiotherapy

Write-up: This report is being submitted in response to an FDA request for information. A 19 year old female entered a study, and reported Hodgkin's lymphoma as new medical history at Month 6. On 10-JAN-2003 and 14-MAR-2003, the patient was vaccinated intramuscularly with a 0.5 mL first and second dose of Gardasil. She did not receive a third dose of vaccine, but did remain in the study (discontinued vaccination due to Hodgkin's disease but remained in the study for follow-up). The condition was reported as active, diagnosed in 2003 (27-MAY-2003). Annotations indicate the following: On 26-MAY-2003, CT thorax: mediastinal tumor 8.3 x4cm + lymphatic nodes. On 27-MAY-2003, a biopsy: Morbus Hodgkin nodula sclerose stadium IIA (Her father: 1995: lymphogranulomadosis). Stage IIIA. She caught a cold in May 2003 and discovered lymphatic nodes on the right side of her neck. Beyond that, no other symptoms. She was asymptomatic before entering the trial and until May 2003. It was felt that this diagnosis was probably not vaccine related. She had received cytostatica and radiation therapy. 04-AUG CT thorax: strong decrease of the glandules on the neck and the mediastinal tumor. No other medical history was reported for this subject. No serious clinical adverse experiences were reported. No additional information is available regarding the Hodgkin's disease. The subject entered the study extension (Protocol 015-10): study extension which offered vaccine to subject who received placebo or received incomplete vaccination regimens of HPV vaccine and received her third dose of vaccine on 05-MAY-2007. The patient completed the study extension on 19-JUN-2007. No serious adverse experiences were reported in the study extension. Per protocol, because the episode of Hodgkin's disease was not vaccine related and reported beyond the follow-up period for adverse experiences, the Hodgkin's disease was not reported as an Adverse Experience, but was reported as medical history in the protocol study data base. No further informati

VAERS ID:	310290	Vaccination Date:	2003-02-13
Age:	17.0	Onset Date:	2003-02-13 Days later: 0
Gender:	Female	Submitted:	2008-04-18
State:		Entered:	2008-04-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? Yes, 0 days

Extended hospital stay? No

Current Illness:

Diagnostic Lab Data: Unknown

Previous Vaccinations:

Other Medications: Unknown

Preexisting Conditions: Unknown

CDC 'Split Type': WAES0804USA03545

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Hodgkin's disease

Write-up: This report is being submitted in response to an request for information. Information has been received from an investigator concerning a 17 year old white female who entered a study title as stated above. On 13-FEB-2003, 31-MAR-2008 and 25-AUG-2003 the patient was vaccinated IM with a first, second and third dose of GARDASIL, respectively. The first report of Hodgkin's disease was at the month 12 visit, which occurred on 16-FEB-2004. At that time, the disease was reported to be active with a start date in 2003. The patient was hospitalized. An annotation related to this event reported the subject no longer received treatment (stopped August 2004). The subject received "cytotoxin" and radiation therapy. No other medical history was reported on this patient. No serious clinical adverse experiences were reported for this patient. There was no additional information regarding Hodgkin's disease. On 05-OCT-2006 the patient completed the study. It was reported that per protocol because the episode of Hodgkin's disease was not vaccine related and reported beyond the follow-up period for adverse experiences, the Hodgkin's disease was not reported as an adverse experience but is reported as medical history in the protocol study base. The reporting investigator felt that Hodgkin's disease were not related to study therapy. Additional information has been requested.

VAERS ID:	312503	Vaccination Date:	2007-09-12
Age:	13.0	Onset Date:	2008-02-19 Days later: 160
Gender:	Female	Submitted:	2008-05-16
State:	Unknown	Entered:	2008-05-16

Life Threatening Illness? No

Died? No

Disability? Yes

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: Unknown

Diagnostic Lab Data: On 20 February 2008: Exam in clinic- findings: left eyelid cannot be approximated, numbness left cheek. Exam reveals facial asymmetry left facial palsy. Patient never seen by neurologist-referral by neurologist office for physical therapy.

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type': B0519583A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			IM	UN

Administered by: Other Purchased by: Other

Symptoms: Blepharospasm, Dyskinesia, Eyelid disorder, Facial palsy, Hypoaesthesia facial

Write-up: This female subject was enrolled in the prophylactic open study 107682 (HPV-018). On 03 April 2007, the subject received the 1st dose of Gardasil (IM left upper deltoid) and the dose of Boostrix (IM right upper deltoid). On 14 May 2007, the subject received the 2nd dose of Gardasil (IM left upper deltoid) and the dose of Aventis Pasteur's (Menactra, IM right upper deltoid) On 12 September 2007, the subject received the 3rd dose of Gardasil (IM left upper deltoid). On 19 February 2008, five months after the 3rd dose of Gardasil, nine months after the 1st dose of Menactra, 10 months after the 1st dose of Boostrix, this 13-year-old subject developed Bell's palsy. The event was disabling. The subject was treated with acyclovir and prednisolone. The event was unresolved at time of reporting. The investigator considered that there was a reasonable possibility that the Bell's palsy may have been caused by Gardasil 16-18, Menactra and Boostrix. Investigator's comments: On 19 February 2008, left eyelid starting twitching. The eyelid felt numb + left side of face was numb. She could not close her eyes, mouth angle twists to right when smiling. Continues to worsen. On 20 February 2008, patient given Zovirax and prednisolone. On 28 February 2008, patient returned to clinic for recheck-no improvement-referred for a neurology consult- patient did not get a neuro consult. On 09 April 2008, recheck in clinic- Bell's Palsy worsening. On 25 April 2008, patient not improved, worsened. Patient is receiving physical therapy. On 01 May 2008, no improvement. On 08 May 2008, the Bell's Palsy is probably related to the study.

VAERS ID:	312974	Vaccination Date:	2008-05-21
Age:	19.0	Onset Date:	2008-05-21 Days later: 0
Gender:	Male	Submitted:	2008-05-22
State:	California	Entered:	2008-05-22

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: Normal

Previous Vaccinations:

Other Medications: Loratidine

Preexisting Conditions: Allergy to cats

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unknown	4	ID	RA
TYP	UNKNOWN MANUFACTURER	unknown	0	IM	RA
YF	UNKNOWN MANUFACTURER	unknown	0	ID	LA

Administered by: Public Purchased by: Private

Symptoms: Dysphagia, Throat tightness

Write-up: Mild difficulty swallowing 15 minutes after shot administered. Mild muscle tension in the throat as well. Went to the ER, was given adrenaline, benadryl, and pregnazone. Symptoms went away after these treatments.

VAERS ID:	313360	Vaccination Date:	2007-05-14
Age:	13.0	Onset Date:	2008-02-19 Days later: 281
Gender:	Female	Submitted:	2008-05-22
State:	Unknown	Entered:	2008-05-27

Life Threatening Illness? No

Died? No

Disability? Yes

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: Not reported

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Not reported

CDC 'Split Type': 200801581

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		2	IM	LA
MNQ	SANOFI PASTEUR		0	IM	RA
TDAP	GLAXOSMITHKLINE BIOLOGICALS		0	IM	RA

Administered by: Unknown Purchased by: Unknown

Symptoms: Blepharospasm, Facial palsy, Hypoaesthesia facial

Write-up: Initial report was received from another manufacturer (ID# B0519583A), who received the report from an investigator participating in their clinical trial. Verbatim from the report: "This female subject was enrolled an a prophylactic open study. On 03 April 2007, the subject received the 1st dose of HPV (IM, left upper deltoid) and the dose of BOOSTRIX (IM, right upper deltoid). On 14 May 2007, the subject received the 2nd dose of HPV (IM, left upper deltoid) and the dose of MENACTRA (IM, right upper deltoid). On 12 September 2007, the subject received the 3rd dose of HPV (IM, left upper deltoid). On 19 February 2008, five months after the 3rd dose of HPV 16-18, nine months after the 1st dose of MENACTRA, 10 months after the 1st dose of BOOSTRIX, this 13-year-old subject developed bell's palsy. the event was disabling. The subject was treated with ACYCLOVIR and PREDNISOLONE. The event was unresolved at the time of reporting. The investigator considered that there was a reasonable possibility that the bell's palsy may have been caused by HPV 16-18, MENACTRA and BOOSTRIX. Investigator comments: On 19 February 2008, left eyelid started twitching. The eyelid felt numb + left side of face was numb. she could not close her eyes, mouth angle twists to right when smiling. Continues to worsen. On 20 February 2008, patient given ZOVIRAX and PREDNISOLONE. On 28 February 2008, patient returned to clinic for recheck - no improvement - referred for a neurology consult - patient did not get a neuro consult. On 09 April 2008, recheck in clinic - Bell's Palsy worsening. On 25 April 2008, patient had not improved, worsened. Patient is receiving physical therapy. On 01 May 2008, no improvement. On 08 May 2008, the Bell's Palsy is probably related to the study. On 20 February 2008: Exam in clinic - findings: left eyelid cannot be approximated, numbness left cheek. Exam reveals facial asymmetry left facial palsy. Patient never seen by neurologist - referral by neurologist office for physical therapy." No further information was provid

VAERS ID:	314390	Vaccination Date:	2008-04-30
Age:	15.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2008-05-30
State:	Arkansas	Entered:	2008-05-30

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: none

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	msd1758y	0	IM	RA
TDAP	UNKNOWN MANUFACTURER	pmcc2899aa	0	IM	LA

Administered by: Public Purchased by: Public

Symptoms: Unevaluable event

Write-up: none

VAERS ID:	316429	Vaccination Date:	2007-03-20
Age:	13.0	Onset Date:	2007-04-06 Days later: 17
Gender:	Female	Submitted:	2008-06-16
State:	Texas	Entered:	2008-06-17

Life Threatening Illness? Yes

Died? No

Disability? Yes

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: 6/26/08-records received-EEG abnormal due to bifrontal spike and wave activity. CT brain unremarkable. MRI no abnormalities.

Previous Vaccinations:

Other Medications:

Preexisting Conditions: 6/26/08-records received-/11/07-Over past year and half has had events characterized by right foot tingling, sometimes shaking, head turning to right.

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	UN
MEN	UNKNOWN MANUFACTURER			UN	UN
TDAP	UNKNOWN MANUFACTURER			UN	UN
VARCEL	UNKNOWN MANUFACTURER			UN	UN

Administered by: Public Purchased by: Other

Symptoms: Complex partial seizures, Electroencephalogram abnormal, Gaze palsy, Nuclear magnetic resonance imaging normal, Paraesthesia, Posture abnormal, Scan brain, Tremor

Write-up: 1st HPV series done on 3/20/07. First grand mal seizure on 04/16/07; Has been diagnosed epileptic on 5/3/07 6/26/08-records received-seen in ED 4/9/07-C/Ogeneralized shaking, confused after event. Impression new onset of seizure. Seen on 5/11/07-Over past year and half has had events characterized by right foot tingling, sometimes shaking, head turning to right. These spells have increased over past 1-2 months, especially tingling sensation. Seizure event eyes rolled back, jerking and limp. Impression:complex partial seizures with secondary generalization except EEG is showing tendencies towards generalized epilepsy.

VAERS ID:	316520	Vaccination Date:	2008-05-23
Age:	16.0	Onset Date:	2008-05-23 Days later: 0
Gender:	Female	Submitted:	2008-06-18
State:	Virginia	Entered:	2008-06-18

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: n/a

Previous Vaccinations:

Other Medications: n/a

Preexisting Conditions: allergic to nickel

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IM	RA

Administered by: Private Purchased by: Unknown

Symptoms: Convulsion, Dizziness, Feeling abnormal, Immediate post-injection reaction, Musculoskeletal stiffness, Pain in extremity

Write-up: Immediately following the shot, while walking to a chair in the doctors office my daughter said her arm really hurt and she could feel the medicine running through her body. SHe then said she felt dizzy. Before I could get to the nurse, her head dropped and she stiffened up and had a seizure. She was out for about 3-5 minutes. When she awoke, she didn't remember anything but feeling dizzy.

VAERS ID:	318396	Vaccination Date:	2008-05-02
Age:	18.0	Onset Date:	2008-05-02 Days later: 0
Gender:	Female	Submitted:	2008-07-07
State:	North Carolina	Entered:	2008-07-07

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: Failed PFT's X 2, Elevated serum IGE levels, Negative CXR.

Previous Vaccinations: none~ ()~NULL~~In Patient|none~ ()~NULL~~In Sibling1|none~ ()~NULL~~In Sibling2

Other Medications: PRN Albuterol rescue inhaler

Preexisting Conditions: Asthma, chronic nosebleeds - Allergic to Codiene

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unknown	0	IM	LA
TDAP	UNKNOWN MANUFACTURER	unknown		IM	RA

Administered by: Private Purchased by: Private

Symptoms: Asthma, Blood immunoglobulin E increased, Chest X-ray normal, Myalgia, Pulmonary function test abnormal, Pyrexia, Upper respiratory tract infection

Write-up: After recieving the 1st injection at approximately 0900 on 5/2/08 patient had low grade fever of 100.6, myalgias, upper respiratory system symptoms that rapidly progressed to exacerbation of asthma by 4pm which required being evaluated by pulmonologist within 24 hours of injection. Patient received antibiotics, initiation of Advair Diskus prescription, burst of steroids, Veramist, change of nebulizer meds to Xopenex and increase in frequency of inhaled nebs. Patient had to be re-treated less than 3 weeks later after relapse after completing antibiotic and steroid therapy. Patient is now on maintenance doses of Advair diskus, Veramist and back to using Albuterol for rescue inhaler use.

VAERS ID:	324866	Vaccination Date:	2008-09-10
Age:	15.0	Onset Date:	2008-09-10 Days later: 0
Gender:	Female	Submitted:	2008-09-11
State:	Oregon	Entered:	2008-09-11

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations: high fever, aches and pains, fainting~HPV (no brand name)~3~16~In Patient|fever, vaccinated site has pain~HPV (no brand name)~3~

Other Medications: none

Preexisting Conditions: asthma, seafood allergies

CDC 'Split Type': asthma, seafood allergies

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		2	IM	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Arthralgia, Dizziness, Eye irritation, Myalgia, Pain in extremity, Pyrexia, Respiratory disorder, Syncope, Thirst

Write-up: High fever up to 103, fainted, dizziness, respiratory problem, muscles and joints hurting, eyes burning,thirsty and injected arm was hurting.

VAERS ID:	326582	Vaccination Date:	2008-09-30
Age:	13.0	Onset Date:	2008-09-30 Days later: 0
Gender:	Female	Submitted:	2008-09-30
State:	Maryland	Entered:	2008-09-30

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Unknown

Symptoms: Convulsion, Syncope

Write-up: Fainting and Seizure after injection

VAERS ID:	326913	Vaccination Date:	0000-00-00
Age:		Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2008-09-15
State:	Ohio	Entered:	2008-09-17

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data: Unknown

Previous Vaccinations:

Other Medications: Unknown

Preexisting Conditions: Unknown

CDC 'Split Type': WAES0808USA02088

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Other Purchased by: Other

Symptoms: Rash macular

Write-up: Information has been received from a physician concerning a female who was vaccinated with GARDASIL injection. The physician reported that a patient received GARDASIL and five days later developed blotches on her back. Patient was referred to dermatologist. The outcome was not reported. There was no product quality complaint. Additional information has been requested.

VAERS ID:	326968	Vaccination Date:	2008-09-22
Age:	12.0	Onset Date:	2008-09-22 Days later: 0
Gender:	Female	Submitted:	2008-09-29
State:	Pennsylvania	Entered:	2008-10-03

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: None

Previous Vaccinations:

Other Medications: None

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER		0	UN	LA
HPV	UNKNOWN MANUFACTURER		0	UN	LA
TD	UNKNOWN MANUFACTURER			UN	LA

Administered by: Private Purchased by: Other

Symptoms: Immediate post-injection reaction, Pallor, Presyncope

Write-up: Daughter seen for a routine well checkup. Dr. administered vaccines GARDASIL, Hep A and TD. A few minutes after injections daughter became very pale. She was standing - almost fainted. she was placed on exam table - laid flat for 5 minutes. Did not return to school that day. remained pale for about 30 mins.

VAERS ID:	328345	Vaccination Date:	2007-01-02
Age:	12.0	Onset Date:	2007-01-02 Days later: 0
Gender:	Female	Submitted:	2008-10-13
State:	Michigan	Entered:	2008-10-13

Life Threatening Illness? Yes

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? Yes, 21 days

Extended hospital stay? Yes

Current Illness: cold

Diagnostic Lab Data: Labs and Diagnsotics: HSV PCR (-). Mycoplasma IgG and IgM (+). HSV cx (+). HSV IgG (+). Alk Phos 83-111 (L). IgA 80 (L). Pre-albumin 9-18 (L). CRP 175 on 1/21/07 down to 14 by 2/4/07. EBV IgG, IgM (+). VZV IgG (+), IgM (-). Blood cx (-),

Previous Vaccinations:

Other Medications:

Preexisting Conditions: PMH: none. NKDA

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	DHPVB017A	0	UN	UN
MNQ	SANOFI PASTEUR	U2094AA	0	IM	RA

Administered by: Unknown Purchased by: Unknown

Symptoms: Amenorrhoea, Atelectasis, Blood alkaline phosphatase normal, Blood culture negative, Blood immunoglobulin A decreased, Blood product transfusion, C-reactive protein increased, Catheter placement, Chest X-ray abnormal, Cough, Culture positive, Diet refusal, Dysmenorrhoea, Dysuria, Emotional distress, Epstein-Barr virus antibody positive, Eye pain, Furuncle, Gastrointestinal tube insertion, Glossodynia, Herpes simplex, Herpes simplex serology positive, Hypophagia, Immune system disorder, Influenza, Influenza serology positive, Lip haemorrhage, Menorrhagia, Menstruation irregular, Mycoplasma serology positive, Oral disorder, Pain, Photophobia, Polymerase chain reaction, Prealbumin decreased, Pyrexia, Rash generalised, Speech disorder, Stevens-Johnson syndrome, Tongue disorder, Tongue exfoliation, Vaginal lesion, Varicella zoster virus serology positive, Weight decreased, X-ray abnormal

Write-up: Fever, legions growing in mouth and vaginal area, and pain on mucous membranes, including eyes. Onset on early Tuesday morning with these symptoms waking the patient. By the the next evening spots were breaking out all over. Took child to emergency room. Attending Dr. diagnosed her with SJS(Stevens Johnson Syndrome). She had just had started a clinical trial by her prior pediatrician. It included Menactra and the HPV vaccine. He refused to believe anything was really wrong with her when we took her on that Tuesday morning. Thus, we took her to the E.R. During the stay in the PICU, the dermitologist changed diagnosis to a variation to varicella, because SJS is so rare. By Friday afternoon it was very apparent it was incorrect and she went back to the first diagnosis of SJS and told us to choose another hospital. We chose. They transported her soon after, and hospital knew what to do. By this time the spots, which had turned to boils at the first hospital were everywhere. She had not ate in over a week and was in severe pain when urinating from the open boils in her vaginal area. She was put in the ICU Burn Unit. They first gave her a catheter and treated her body like a burn patient, morphine, and continued with many eye drops to save her eyesight. She had dermatologists, infectious disease doctors, opthamologists, and others I cannot be sure of. She was given a feeding tube the next day. After running their battery of tests, they started the IVIG treatments on Monday. It was a very stressful, long, and scary two more weeks to see if her body would respond well, or if it had been to late. Finally, she went to the hospital, for she looked to be recovering. It took another week or so for her body to be weaned and accept supplement shakes. Her tongue was disformed and painful from the skin sloghing off. Plus the muscles had not been used, so talking was difficult. She lost 20 pounds, but her lips, which had continued to bleed during the time, started to heal, along with her eyes and boils on bod

VAERS ID:	328536	Vaccination Date:	2008-09-11
Age:	26.0	Onset Date:	2008-09-11 Days later: 0
Gender:	Female	Submitted:	2008-09-15
State:	Washington	Entered:	2008-10-15

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER
TDAP	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Private

Symptoms: Local reaction

Write-up: Large, local reaction left upper arm.

VAERS ID:	329013	Vaccination Date:	2008-10-08
Age:	12.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2008-10-17
State:	Texas	Entered:	2008-10-17

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: no

Diagnostic Lab Data: CT scan done by doctor.

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1446u		IM

Administered by: Private Purchased by: Unknown

Symptoms: Computerised tomogram, Crying, Dizziness, Headache, Vomiting

Write-up: Vaccine administered at approximately 2:00 P.M. Child awoke at 1:30 AM complaining of severe headache stated pounding and throbbing. Child crying. Thirty minutes later, she vomited. Also complained of dizziness. Headache unrelieved by Tylenol. Headache intermittently comes back, but not as bad. Exactly one week later, headache came back (severe headache).

VAERS ID:	330380	Vaccination Date:	2008-10-20
Age:	24.0	Onset Date:	2008-10-20 Days later: 0
Gender:	Female	Submitted:	2008-10-28
State:	Michigan	Entered:	2008-10-28

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Birth Control & Valtrex

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Private

Symptoms: Activities of daily living impaired, Crying, Injected limb mobility decreased, Pain in extremity, Sleep disorder

Write-up: It's been 1 week and 1 day since my vaccination and i'm experiencing extreme arm pain. To the point where i cannot lift my arm and when getting dressed i'm in so much pain that I'm crying because it hurts so much. If take motrin all the time to make the pain bareable, however when I sleep i wake up as soon as the pain medicine wears off and I wake up in extreme pain and agony.

VAERS ID:	331877	Vaccination Date:	2008-09-05
Age:	12.0	Onset Date:	2008-09-05 Days later: 0
Gender:	Female	Submitted:	2008-11-10
State:	Wisconsin	Entered:	2008-11-10

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Dx with ear infection

Diagnostic Lab Data: NO testing with 9/12/08 visit Dx ear infection issue with ATBX changed her ATBX NO testing with 9/23/08 visit stomache issue was ATBX changed ATBX even though stomache issue was before the ATBX started NO testing 10/18/08 D

Previous Vaccinations:

Other Medications: None at the time of injection

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unk	0	IM	LA
MEN	UNKNOWN MANUFACTURER	unk	0	IM	LA

Administered by: Private Purchased by: Unknown

Symptoms: Adenoidal disorder, Condition aggravated, Diarrhoea, Ear infection, Headache, Mononucleosis heterophile test, Sinusitis, Stomach discomfort, Urinary tract infection, Urine analysis abnormal, X-ray

Write-up: Ashli started with ear issues was given AMOXI/CLAV same day as injection then after the injection it was stomache, headaches, diarrhea, then and now they claim an adenoid issue. Was seen by MD 9/12/08, 10/18/08, and 10/22/08. DX with ear infection still then stated stomach issues were the ATBX. Next was DX: without Xray it was a sinus infect was given Zithromax then it was a UTI was given Sulfa. I was one thing after another and she has never been sick like this before. She still doen't "feel herself" yet.

VAERS ID:	332181	Vaccination Date:	2008-10-16
Age:		Onset Date:	2008-10-29 Days later: 13
Gender:	Male	Submitted:	2008-10-31
State:	Unknown	Entered:	2008-11-12

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? Yes, days

Extended hospital stay? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Lipitor; Paxil; Nitroglycerin patch

Preexisting Conditions: Myocardial infarction; Coronary artery disease; Premature ventricular contractions; Hypercholesterolemia; Seizures

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	AC0544	1	SC	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Chest pain, Troponin

Write-up: Admitted to hospital telemetry unit via ambulance late in the evening of 10/29/08. Patients chief complaint: chest pain. Troponin levels normal. No further information is available at this time.

VAERS ID:	335221	Vaccination Date:	2008-02-20
Age:	21.0	Onset Date:	2008-05-07 Days later: 77
Gender:	Female	Submitted:	2008-12-12
State:	Massachusetts	Entered:	2008-12-12

Life Threatening Illness? Yes

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? Yes, 3 days

Extended hospital stay? No

Current Illness: no

Diagnostic Lab Data: 2/19/09-records received-Echocardiogram T wave anormality consider anterior ischemia. Abnormal ECG.

Previous Vaccinations:

Other Medications: oral birth control

Preexisting Conditions: oral contraceptives

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		2	IM	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Pleuritic pain, Pulmonary embolism

Write-up: Pulmonary embolism, treated at the Brigham and Women's Hospital 2/19/09-records received for DOS 5/6-5/9/09-DC DX:Pulmonary embolism. Presented with sort of breath pleuritic chest pain. PEinvolving distal right and left main PAs with RV dilation.

VAERS ID:	336094	Vaccination Date:	2008-11-15
Age:	16.0	Onset Date:	2008-11-15 Days later: 0
Gender:	Female	Submitted:	2008-12-28
State:	Arizona	Entered:	2008-12-28

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: Xrays, MRI, Dr. visits

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Ashma

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPAB	UNKNOWN MANUFACTURER				RA
HPV	UNKNOWN MANUFACTURER				LA
MMR	UNKNOWN MANUFACTURER				LA

Administered by: Public Purchased by: Private

Symptoms: Arthralgia, Loss of consciousness, Nuclear magnetic resonance imaging, X-ray

Write-up: She was given the HPV Vaccine and passed out. She never fell or hit anything. she came to and had sever pain in her ankle. she has had xrays and a MRI and they show nothing wrong BUT she still has the pain.

VAERS ID:	339564	Vaccination Date:	2009-01-09
Age:	17.0	Onset Date:	2009-01-09 Days later: 0
Gender:	Female	Submitted:	2009-02-12
State:		Entered:	2009-02-13

Life Threatening Illness? Yes

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Nausea

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: Dicyclomine hydrochloride

Preexisting Conditions: Latex allergy

CDC 'Split Type': B0557758A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	AHPVA043AA		IM	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Anaphylactic reaction

Write-up: This case was reported by the Medicines and Healthcare products Regulatory Agency (GB-MHRA-ADR 20375770) and described the occurrence of anaphylactic reaction in a 17-year-old female subject who was vaccinated with CERVARIX. Previous vaccination included CERVARIX. The subject's medical history included latex allergy. Concurrent medications included MERBENTYL. Concurrent medical conditions included nausea. On 9 January 2009 the subject received unspecified dose of CERVARIX (.5 ml, intramuscular). On 9 January 2009, at an unspecified time after vaccination with CERVARIX, the subject experienced anaphylactic reaction. The regulatory authority reported that the event was life threatening. The patient was treated with chlorphenamine, prednisolone and oxygen. On 9 January 2009, the event was resolved. MHRA Verbatim Text: Patient had anaphylactic reaction. Treated with chlorphenamine, prednisolone and oxygen. Licenses: IND BB-7,920

VAERS ID:	339565	Vaccination Date:	2009-01-15
Age:		Onset Date:	2009-01-15 Days later: 0
Gender:	Female	Submitted:	2009-02-12
State:		Entered:	2009-02-13

Life Threatening Illness? Yes

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type': B0557755A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	AHPVA043AA		SC	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Influenza like illness, Loss of consciousness, Musculoskeletal stiffness, Tremor, Vomiting

Write-up: This case was reported by the Agency (GB-MHRA-ADR 20375835) and described the occurrence of vomiting in a female subject of unspecified age who was vaccinated with CERVARIX. On 15 January 2009 the subject received unspecified dose of CERVARIX (1, subcutaneous). On 15 January 2009, at an unspecified time after vaccination with CERVARIX, the subject experienced vomiting, flu-like symptoms, tremor and stiffness for 20 minutes and became unconscious. The regulatory authority reported that the events were life threatening. At the time of reporting the events were improved. Patient had flu-like symptoms, vomiting. Patient had 20 minute episode with stiffness, shaking and became unconscious-possible fit. Licenses: IND BB-7,920.

VAERS ID:	341167	Vaccination Date:	2009-03-04
Age:	12.0	Onset Date:	2009-03-05 Days later: 1
Gender:	Female	Submitted:	2009-03-05
State:	California	Entered:	2009-03-05

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: N/A

Previous Vaccinations:

Other Medications: Children's Motrin

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER	unknown		UN	UN
HPV	UNKNOWN MANUFACTURER	unknown		UN	UN
MEN	UNKNOWN MANUFACTURER	unknown		UN	UN
TDAP	UNKNOWN MANUFACTURER	unknown		UN	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Disorientation, Dizziness, Dysarthria, Fall, Fatigue, Heart rate increased, Immediate post-injection reaction, Nausea, Paraesthesia, Paraesthesia oral, Sensation of heaviness, Somnolence

Write-up: Within 5 minutes of injection, arms felt heavy and tingly, tongue was tingling, felt nautious and felt dizzy, collapsed in waiting area but did not loose conciousness. Was disoriented and was slurring while trying to talk, and pulse was 98. Nurses arrived promptly and gave her orange juice and rested for 15 minutes. Blood pressure was taken after the rest and pulse returned to normal 72. Was released to go home. Felt very tired and sleepy the rest of the evening.

VAERS ID:	341500	Vaccination Date:	2009-02-10
Age:		Onset Date:	2009-02-11 Days later: 1
Gender:	Female	Submitted:	2009-03-11
State:		Entered:	2009-03-11

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Unknown

Diagnostic Lab Data: UNK

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type': B0562800A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	AHPVA020BE		IM	UN
TD	UNKNOWN MANUFACTURER	B5210		IM	UN

Administered by: Other Purchased by: Other

Symptoms: Syncope

Write-up: This case was reported by a regulatory authority (# ES-AGEMED-014206343) and described the occurrence of syncope in a female subject of unspecified age who was vaccinated with CERVARIX (GlaxoSmithKline), Td. On 10 February 2009, the subject received unspecified dose of CERVARIX (intramuscular, unknown injection site), unspecified dose of Td (intramuscular, unknown injection site). On 11 February 2009, 1 day after vaccination with CERVARIX and Td, the subject experienced syncope. The regulatory authority reported that the event was clinically significant (or requiring intervention). On 11 February 2009, the event was resolved. The regulatory authority reported that the event was possibly related to vaccination with CERVARIX and Td. Further information is not expected as the regulatory authority has provided all the available information. This case has therefore been closed.

VAERS ID:	341635	Vaccination Date:	2009-03-11
Age:	11.0	Onset Date:	2009-03-11 Days later: 0
Gender:	Female	Submitted:	2009-03-12
State:	Texas	Entered:	2009-03-12

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? Yes, 1 days

Extended hospital stay? No

Current Illness: COUGH 3/18/09-records received-Mild upper respiratory symptoms and cough for 3 days prior.

Diagnostic Lab Data: 3/18/09-records received- BUN/creat ratio increased 28.0.

Previous Vaccinations:

Other Medications:

Preexisting Conditions: 3/18/09-records received-PMH:abdominal pain, H. pylori, lactose intolerance. Allergic rhinitis.

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	UNKNOWN MANUFACTURER			IM	UN
HPV	UNKNOWN MANUFACTURER			IM	UN
MEN	UNKNOWN MANUFACTURER			IM	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Abasia, Arthralgia, Back pain, Blood urea nitrogen/creatinine ratio increased, Bronchitis, Inappropriate schedule of drug administration, Myalgia, Pain in extremity, Sensation of heaviness

Write-up: MOM STATE FEW MINUTES AFTER VACCINE PT COMPLAIN OF PAIN LOWER BACK RADIATING TO BOTH HIP AND LEGS THEN GOT WORST UNABLE TO WALK AND ADMITTED FOR EVALUATION 3/18/09-records received for DOS 3/12-3/13/09-DC DX Acute myalgia post vaccination. Bronchitis. Presented with bilateral hip pain and upper legs and associated heaviness feeling and weakness of legs. Symptoms began 30 minutes after vaccinations. Unable to walk due to pain in legs.

VAERS ID:	342311	Vaccination Date:	2009-03-19
Age:	12.0	Onset Date:	2009-03-20 Days later: 1
Gender:	Female	Submitted:	2009-03-20
State:	Minnesota	Entered:	2009-03-20

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: uri

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: none

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	UNKNOWN MANUFACTURER		4	IM	UN
HPV	UNKNOWN MANUFACTURER		0	IM	UN
MEN	UNKNOWN MANUFACTURER		0	IM	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Inappropriate schedule of drug administration, Muscle spasms, Pyrexia

Write-up: fever to 103.4, muscle spasm, r thumb-treated with anti-pyretics, time

VAERS ID:	342313	Vaccination Date:	2009-03-12
Age:	25.0	Onset Date:	2009-03-12 Days later: 0
Gender:	Female	Submitted:	2009-03-20
State:	Pennsylvania	Entered:	2009-03-20

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: penicillin allergy

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	unknown	1	IM	LA

Administered by: Private Purchased by: Unknown

Symptoms: Injection site mass, Injection site pain

Write-up: After receiving the second dose of the Gardasil vaccine, I had a large lump under the skin at the injection site that felt almost like a marble. The skin was not hotter than usual or red, it was just a lump. It does not hurt all the time, only when bumped or touched. The bump decreases in size, but it is 8 days after the injection and it is still present.

VAERS ID:	342483	Vaccination Date:	2009-02-06
Age:	23.0	Onset Date:	2009-02-06 Days later: 0
Gender:	Female	Submitted:	2009-03-19
State:	Montana	Entered:	2009-03-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: MRI - Pending.

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	UNKNOWN MANUFACTURER			UN	UN
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Military Purchased by: Military

Symptoms: Injected limb mobility decreased, Nuclear magnetic resonance imaging, Pain in extremity

Write-up: Soreness in arm for over a month - Stinging pain, unable to lift arm.

VAERS ID:	343368	Vaccination Date:	2007-08-29
Age:	11.0	Onset Date:	2007-09-19 Days later: 21
Gender:	Female	Submitted:	2009-04-02
State:	Nebraska	Entered:	2009-04-02

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? Yes, 1 days

Extended hospital stay? No

Current Illness: None

Diagnostic Lab Data: Normal upper GI, normal colonscopy, normal upper endoscopy, negative red blood count, normal blood work. 5/26/09 Hospital records received ED and inpatient DOS 9/18/07 to 11/19/08. LABS and DIAGNOSTICS: CBC - Platelet Count 157 thous (L

Previous Vaccinations: high fever, abdominal pain, dizziness, pale~HPV (no brand name)~3~12~Patient|none~ ()~~0~Sibling|none~ ()~~0~Sibling

Other Medications: None. 5/26/09 Hospital records received ED and inpatient DOS 9/18/07 to 11/19/08. Tylenol, ibuprofen, Prevacid

Preexisting Conditions: None. 5/26/09 Hospital records received ED and inpatient DOS 9/18/07 to 11/19/08. Adhesive tape allergy, asthma

CDC 'Split Type': None. 5/26/09 Hospital records received ED and inpatient DOS 9/18/07 to 11/19/08. Adhesive tape allergy, asthma

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	1	1	IM	LA

Administered by: Unknown Purchased by: Unknown

Symptoms: Abdominal pain lower, Abdominal pain upper, Alanine aminotransferase decreased, Biopsy intestine abnormal, Blood alkaline phosphatase increased, Blood amylase decreased, Blood test normal, Blood urine present, C-reactive protein increased, Colitis, Colonoscopy abnormal, Cough, Culture throat negative, Cytomegalovirus antibody positive, Endoscopy normal, Epstein-Barr virus antibody negative, Haematocrit increased, Haemoglobin increased, Headache, Hepatitis A virus test, Hepatitis B virus test, Hepatitis C virus test, Hepatosplenomegaly, Ketonuria, Lymphocyte count increased, Lymphocyte percentage increased, Nasal congestion, Nausea, Neutrophil percentage decreased, Oesophagogastroduodenoscopy, Oropharyngeal pain, Platelet count decreased, Polydipsia, Polyuria, Protein urine present, Pyrexia, Red blood cell count increased, Red blood cell count normal, Rhinorrhoea, Streptococcal identification test negative, Ultrasound abdomen abnormal, Wheezing, X-ray with contrast upper gastrointestinal tract, pH urine increased

Write-up: High fever of 106F, wheezing, upper right quadrant pain and lower right quadrant pain. It lasted for 8 months. Treatments were antibioctics. 5/26/09 Hospital records received ED and inpatient DOS 9/18/07 to 11/19/08. FINAL DIAGNOSIS: Focal acute colitis. Post vaccination presented with abdominal pain all quadrants, fever, headache, nausea, hepatosplenomegaly, polyuria, polydipsia. Additional visits for sore throat, congestion, runny nose and cough. 8/7/09 ICD-9 Codes: 789.00 abdominal pain unspecified, 789.01 Right upper quadrant abdominal pain, 793.6 Nonspecific radiologic abnormality of the abdomen or retroperitoneum, 309.24 Adjustment disorder with anxiety, V15.09 Other allergy other than to medicinal agents, 462 Acute pharyngitis, 465.9 Acute upper respiratory infection unspecified sites, 079.99 Viral infection unspecified in condition classified elsewhere, 571.8 Other non-alcoholic chronic liver disease.

VAERS ID:	343499	Vaccination Date:	2009-04-03
Age:	16.0	Onset Date:	2009-04-03 Days later: 0
Gender:	Female	Submitted:	2009-04-03
State:	Oklahoma	Entered:	2009-04-03

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER
TDAP	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Unknown

Symptoms: Flushing, Headache, Musculoskeletal stiffness, Staring, Vision blurred

Write-up: Within 5-10 minutes of patient receiving TdaP and gardasil, pt had a 30 second episode of stiffening and blank staring. Since that time she has had a headache and blurry vision. Had some flushing as well.

VAERS ID:	346326	Vaccination Date:	2009-05-01
Age:	5.0	Onset Date:	2009-05-03 Days later: 2
Gender:	Female	Submitted:	2009-05-14
State:	California	Entered:	2009-05-14

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: none ordered by hospital

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Cerebal palsy

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER
MEA	UNKNOWN MANUFACTURER
SMALL	UNKNOWN MANUFACTURER

Administered by: Public Purchased by: Public

Symptoms: Inappropriate schedule of drug administration, Injection site rash, Injection site swelling, Rash

Write-up: Received vaccination on Friday, by Saturday evening developed rash at site of injection. Two days later reaction (rash, swelling) was appro 2" x 2". At day four rash disappeared. On day 11 another rash at the site of the injection developed. Upon awakening on day 13, the rash had spread to be approx 4" x4" and red "dots" had appeared on entire body. At this point uncertain to outcome of reaction!

VAERS ID:	347601	Vaccination Date:	2008-07-03
Age:	18.0	Onset Date:	2008-07-03 Days later: 0
Gender:	Female	Submitted:	2009-05-15
State:	Nebraska	Entered:	2009-05-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: None

Previous Vaccinations:

Other Medications: MIRALAX

Preexisting Conditions: Unknown

CDC 'Split Type': WAES0807USA04575

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			UN	UN
MNQ	SANOFI PASTEUR			UN	UN
TDAP	UNKNOWN MANUFACTURER			UN	UN
VARCEL	MERCK & CO. INC.	1900U	1	SC	RA

Administered by: Private Purchased by: Other

Symptoms: Inappropriate schedule of drug administration, Pruritus, Rash papular

Write-up: Information has been received from a physician concerning an 18 year old female who on 19-JAN-1998 was vaccinated with the first dose of VARIVAX (Merck). On 03-JUL-2008 at 11:00 AM the patient was vaccinated subcutaneously with the second dose of VARIVAX (Merck) (lot no. 659935/1900U) into the right arm. At the same time the patient was vaccinated with HPV (MSD), MENACTRA and Tdap. Concomitant therapy included MIRALAX. On 18-JUL-2008 the patient experienced rash. On 21-JUL-2008 the patient was examined in clinic. The patient had no fever. The patient had vesicular and papulovesicular lesions everywhere on scalp, face, trunk and extremities and pruritus. The patient was treated with VALTREX and antihistamines for for pruritus. On 25-JUL-2008 the patient was followed up by phone. The lesions were crusted. No new lesions and no fever. Additional information is not expected.

VAERS ID:	348449	Vaccination Date:	2009-06-03
Age:	14.0	Onset Date:	2009-06-03 Days later: 0
Gender:	Female	Submitted:	2009-06-04
State:	Missouri	Entered:	2009-06-04

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: had transvesmylitis- attacked the nerves in her rt leg 10/04

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	LA

Administered by: Private Purchased by: Private

Symptoms: Dizziness, Dyspnoea, Immediate post-injection reaction, Pallor

Write-up: w/in 3 minutes of receiving the 1st does of gardisil she was dizzy, pale, light headed, saying that she couldn't breathe. it sounded like she was gasping for air.

VAERS ID:	349395	Vaccination Date:	0000-00-00
Age:	13.0	Onset Date:	0000-00-00 Days later:
Gender:	Female	Submitted:	2009-06-17
State:	North Carolina	Entered:	2009-06-17

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Private Purchased by: Unknown

Symptoms: Alopecia, Arthralgia, Headache

Write-up: since having gardasil shots my daughter has complained of frequent headaches, hair loss, and joint pain.

VAERS ID:	351338	Vaccination Date:	2009-07-14
Age:	11.0	Onset Date:	2009-07-14 Days later: 0
Gender:	Female	Submitted:	2009-07-14
State:	Arizona	Entered:	2009-07-14

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: 11 yr phy

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: adderall, proair

Preexisting Conditions: astma,allergic rhinitis,adhd

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	MERCK & CO. INC.	1604x	1	IM	RA
HPV	UNKNOWN MANUFACTURER	0100y		IM	RA
MNQ	SANOFI PASTEUR	u2915aa		IM	LA
TDAP	SANOFI PASTEUR	uf460aa	0	IM	LA

Administered by: Private Purchased by: Private

Symptoms: Headache, Nausea, Pain in extremity

Write-up: severe headache,soreness in arms nausea.

VAERS ID:	351792	Vaccination Date:	2009-06-14
Age:	12.0	Onset Date:	2009-06-14 Days later: 0
Gender:	Female	Submitted:	2009-07-17
State:	Alaska	Entered:	2009-07-17

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Asthenia, Dizziness, Dysphonia, Pallor, Pyrexia

Write-up: Moderate fever, hoarseness, paleness, weakness, and dizziness. started 9:30 pm on July 14, 2009, and ended 1:30 am July 17, 2009. treatment:ibprophen, tylenal, and acedominophen.

VAERS ID:	352391	Vaccination Date:	2009-07-23
Age:	11.0	Onset Date:	2009-07-23 Days later: 0
Gender:	Female	Submitted:	2009-07-24
State:	Florida	Entered:	2009-07-24

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: asthma

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			IM	RA
TDAP	UNKNOWN MANUFACTURER			IM	LA
VARCEL	UNKNOWN MANUFACTURER			IM	LA

Administered by: Public Purchased by: Public

Symptoms: Chest pain, Cold sweat, Dizziness, Headache, Nausea

Write-up: clammy skin, right sided chest pain, headache, nausea, dizziness

VAERS ID:	352441	Vaccination Date:	2009-02-06
Age:	13.0	Onset Date:	2009-02-06 Days later: 0
Gender:	Female	Submitted:	2009-07-24
State:		Entered:	2009-07-24

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Unknown

Diagnostic Lab Data: UNK

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type': B0584359A

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEP	GLAXOSMITHKLINE BIOLOGICALS	XHBVB427A1		IM	RA
HPV	UNKNOWN MANUFACTURER	AHPVA020BE		IM	LA

Administered by: Other Purchased by: Other

Symptoms: Dizziness, Headache, Pain in extremity, Syncope

Write-up: This case was reported by a regulatory authority (# ES-AGEMED-307168245) and described the occurrence of vagal syncope in a 13-year-old female subject who was vaccinated with ENGERIX pediatric B (GlaxoSmithKline), CERVARIX. On 6 February 2009, the subject received unspecified dose of ENGERIX B pediatric (intramuscular, unknown injection site), unspecified dose of CERVARIX (intramuscular, unknown injection site). On 6 February 2009, less than one day after vaccination with CERVARIX and ENGERIX B pediatric, the subject experienced intense headache, dizziness, pain in the flexura of the arm and vagal syncope. The regulatory authority reported that the events were clinically significant (or requiring intervention). At the time of reporting the events were resolved. No further information can be obtained; this case has therefore been closed.

VAERS ID:	352896	Vaccination Date:	2009-07-30
Age:	13.0	Onset Date:	2009-07-30 Days later: 0
Gender:	Female	Submitted:	2009-07-31
State:	Wisconsin	Entered:	2009-07-31

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
DTAP	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Discomfort, Erythema, Inappropriate schedule of drug administration, Urticaria

Write-up: Broke out in hives all over her body around 7:45pm the day of the shot given..about 4 hours after...took patient to ER around 9:15 pm due to being all red in color and having hives all over. She was very uncomfortable. At the ER they gave her an IV and then some drugs to counteract the reaction.

VAERS ID:	354400	Vaccination Date:	2009-07-18
Age:	16.0	Onset Date:	2009-07-18 Days later: 0
Gender:	Female	Submitted:	2009-08-17
State:	Arkansas	Entered:	2009-08-17

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: no

Diagnostic Lab Data: echocardiogram pending

Previous Vaccinations:

Other Medications: Yasmin, OCP

Preexisting Conditions: ADHD

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER

Administered by: Public Purchased by: Unknown

Symptoms: Cardiac murmur, Chest pain, Condition aggravated, Costochondritis, Echocardiogram

Write-up: Ongoing chest pain intermittently since the vaccine administration consistent with costochodritis, patient has a mvp that appears to have worsened with a louder murmur, will obtain echocardiogram

VAERS ID:	354657	Vaccination Date:	2009-08-14
Age:	11.0	Onset Date:	2009-08-14 Days later: 0
Gender:	Female	Submitted:	2009-08-19
State:	Texas	Entered:	2009-08-19

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: no

Diagnostic Lab Data: none

Previous Vaccinations:

Other Medications: no

Preexisting Conditions: allergies seasonal

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER	unknown	0	IM	UN
HPV	UNKNOWN MANUFACTURER	unknown	0	IM	UN
MEN	UNKNOWN MANUFACTURER	unknown	0	IM	UN
TDAP	UNKNOWN MANUFACTURER	unknown	0	IM	UN
VARCEL	UNKNOWN MANUFACTURER	unknown	1	IM	UN

Administered by: Public Purchased by: Unknown

Symptoms: Arthralgia, Gait disturbance, Headache, Insomnia, Myalgia

Write-up: Severe headaches that come on suddenly (side and front of brain). Have witnessed joints, bones that hurt to the point that the child can not walk, complains that toes, wrist, legs, and muscels hurt. Has caused insomina and has gone a whole day without sleeping rest of days only couple of hours of sleep.

VAERS ID:	355472	Vaccination Date:	2009-08-25
Age:	12.0	Onset Date:	2009-08-26 Days later: 1
Gender:	Female	Submitted:	2009-08-26
State:	Michigan	Entered:	2009-08-26

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER			UN
HPV	UNKNOWN MANUFACTURER			UN
MEN	UNKNOWN MANUFACTURER			UN
TDAP	UNKNOWN MANUFACTURER			UN

Administered by: Public Purchased by: Unknown

Symptoms: Erythema, Swelling, Urticaria

Write-up: Multiple Uriticariae Shoulders. Raised red area to back and shoulders.

VAERS ID:	357924	Vaccination Date:	2008-12-17
Age:	19.0	Onset Date:	2009-01-04 Days later: 18
Gender:	Female	Submitted:	2009-09-16
State:	Illinois	Entered:	2009-09-22

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: Complete blood work up- liver involvement...

Previous Vaccinations: 10/8~HPV (Gardasil)~1~19.00~Patient

Other Medications:

Preexisting Conditions: Herpes - Acyclovir; Birth control - YAZ

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		1	UN	UN

Administered by: Private Purchased by: Unknown

Symptoms: Chills, Eye swelling, Full blood count, Hepatic enzyme abnormal, Influenza like illness, Lymphadenopathy, Malaise, Nausea, Pain, Pyrexia, Vomiting

Write-up: Pt was given 1st dose of HPV vaccine on 10/8. She experienced flu-like symptoms within two days of dose. She got # 2 dose on 12/17 by 12/4 she woke up with her eyes swollen shut. She had fever, chills, aches, swollen glands, nausea, some vomiting, liver enzymes were off... she was very ill until Jan 22. Flu-like, mono-like symptoms, but it was neither.

VAERS ID:	361262	Vaccination Date:	2009-08-11
Age:	21.0	Onset Date:	2009-08-11 Days later: 0
Gender:	Female	Submitted:	2009-10-16
State:	Minnesota	Entered:	2009-10-16

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: no

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: celiac disease diagnosed while studying abroad in France spring 2009. Tests not done in US.

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	UN

Administered by: Private Purchased by: Private

Symptoms: Crying, Fungal skin infection, Skin discolouration, Visual field defect

Write-up: Vision changes: white blotches. Described as if a white marker blotted out large sections of words on a page. She cried herself to sleep. HAS had subsequent problems with yeast growth on face--unknown if related to injection.

VAERS ID:	362425	Vaccination Date:	2009-10-22
Age:	11.0	Onset Date:	2009-10-22 Days later: 0
Gender:	Female	Submitted:	2009-10-23
State:	California	Entered:	2009-10-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: no

Diagnostic Lab Data: Have call in to pediatric doctor

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU(H1N1)	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER

Administered by: Unknown Purchased by: Unknown

Symptoms: Abdominal pain, Nausea, Vomiting

Write-up: Severe abdominal pain & vomiting. 10/27/09 ED records received service date 10/22/09. Assessment: Possible reaction to immunization. Patient c/o periumbilical abdominal pain, nausea, vomiting.

VAERS ID:	362432	Vaccination Date:	2009-10-19
Age:	12.0	Onset Date:	2009-10-19 Days later: 0
Gender:	Female	Submitted:	2009-10-23
State:	Arkansas	Entered:	2009-10-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		1	IM	LA

Administered by: Private Purchased by: Unknown

Symptoms: Rash, Urticaria

Write-up: Rash started on legs,(inner thighs)gradually got worse and spread to upper arm, down rest of legs to bottom of feet and both sides and chest. Was given benadryl and was seen by Dr on 10/23/2009 and was diagnosed with hives and was told to continue benadryl, give zyrtec, and singular.

VAERS ID:	363897	Vaccination Date:	2009-10-08
Age:	25.0	Onset Date:	2009-10-15 Days later: 7
Gender:	Female	Submitted:	2009-10-29
State:		Entered:	2009-10-30

Life Threatening Illness? No

Died? No

Disability? Yes

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: magnetic resonance imaging, 16Oct09, brain: see narrative; blood CD4 count, ??Jul09, 600; serum blood urea nitrogen, 02Jul09, normal; serum creatine, 02Jul09, normal; complete blood cell count, 02Jul09, normal; hepatic function tests, 02Jul

Previous Vaccinations:

Other Medications: lamivudine (+) zidovudine; lopinavir (+) ritonavir

Preexisting Conditions: Pregnancy; Delivery

CDC 'Split Type': WAES0910CAN00081

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Activities of daily living impaired, Blood creatine normal, Blood urea normal, CD4 lymphocytes, Cerebral infarction, Encephalopathy, Full blood count normal, Gait disturbance, Hemiparesis, Hyperreflexia, Liver function test normal, Nuclear magnetic resonance imaging brain abnormal

Write-up: Information has been received from a Study concerning a 25 year old female with a history of pregnancy and delivery who entered a study. In July 2009: blood helper/inducer cell lymphocyte count was 600 (no units provided). On 02-JUL-2009, complete blood cell count, hepatic function tests, serum blood nitrogen test and serum creatine test were normal. On October 2009: blood helper/inducer cell lymphocyte count was 600 (no units provided). In 08-OCT-2009 the patient was vaccinated with the first dose of GARDASIL, lot # not available. Concomitant therapy included KALETRA (dates unknown) and COMBIVIR (dates unknown). It was reported that other concomitant medications were unknown. On 15-OCT-2009 the patient presented with post vaccine encephalomyelopathy. It was reported that the patient presented with mild weakness and hyper reflexia on right side, right foot dragging and patient complaining of difficulty holding baby. On 16-OCT-2009 an MRI of the brain showed acute perforator infarction in the territory of the short circumferential arteries in the pontomesencephalic region on the left side presumably due to periventricular inflammation with significant amount of leptomeningeal contrast enhancement present in the contrast-enhanced scans. In addition to these findings, T1 and FLAIR hyperintensities were present in the periventricular white matter. These may be related to HIV encephalopathy, progressive multifocal leukoencephalopathy or post-vaccination encephalitis. The patient's post vaccine encephalomyelopathy persisted. It was reported that the vaccine was discontinued. It was reported that there was no treatment to date. The investigator commented that differential diagnosis included PML, HIV encephalopathy (that are unlikely given current CD4 and use of HAART), TB meningitis in differential diagnosis and vaccine induced multiple sclerosis also a consideration. The reporting investigator felt that post vaccine encephalomyelopathy was probably related to study therapy. Post vaccine encephalomyelopathy was consider

VAERS ID:	364805	Vaccination Date:	2009-10-31
Age:	12.0	Onset Date:	2009-11-02 Days later: 2
Gender:	Female	Submitted:	2009-11-03
State:	New York	Entered:	2009-11-03

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness: NONE

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: NONE

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	UNKNOWN MANUFACTURER		3	IM	LA
HPV	UNKNOWN MANUFACTURER		0	IM	LA
VARCEL	MERCK & CO. INC.	1071Y	1	SC	LA

Administered by: Private Purchased by: Unknown

Symptoms: Injection site erythema, Injection site pain, Injection site swelling

Write-up: Swelling, Pain, Erythema to middle of L. arm at site of innoculation. Did not involve joints.

VAERS ID:	366167	Vaccination Date:	2009-11-07
Age:	18.0	Onset Date:	2009-11-08 Days later: 1
Gender:	Female	Submitted:	2009-11-09
State:	Colorado	Entered:	2009-11-09

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications: unk

Preexisting Conditions: unk

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		1	IM	RA

Administered by: Private Purchased by: Private

Symptoms: Rash, Swelling face

Write-up: rash Rt temple to neck, facial swelling. continues to have above sx @ 11/09/09 12:00 PM

VAERS ID:	368356	Vaccination Date:	2009-10-05
Age:	14.0	Onset Date:	2009-11-15 Days later: 41
Gender:	Female	Submitted:	2009-11-18
State:	New Jersey	Entered:	2009-11-18

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: none

Previous Vaccinations:

Other Medications: none

Preexisting Conditions: none. specifically made appt. just for the vaccine.

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	IJ	LA

Administered by: Private Purchased by: Unknown

Symptoms: Fatigue, Menstrual disorder, Urticaria

Write-up: I'm not even sure if it related to the vaccine. I'm trying to figure this out. Large red welts buttocks and back torso area. extremely tired. lasted approx. 1hr. noted same on feet. few on legs. gave benadryl, but seemed to be fading prior to dose. next day in school noticed red raised "welts" on fingers. also went away. not sure if this is something to be concerned about, esp. since vaccine was the only most recent change. menses was 21days not 28.

VAERS ID:	369479	Vaccination Date:	2008-07-29
Age:	25.0	Onset Date:	2008-09-15 Days later: 48
Gender:	Female	Submitted:	2008-11-18
State:	D.C.	Entered:	2009-11-20

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? Yes, days

Extended hospital stay? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Pregnancy; Smoking; and Alcohol use; Liver/Kidney problems, etc

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Gastrooesophageal reflux disease, Headache

Write-up: 25 yo reports an adverse reaction to her HPV vaccine. Patient developed a headache for a week after having the vaccine. In addition patient had complaints of GERD symptoms. Patient refused to take next dose of HPV.

VAERS ID:	369641	Vaccination Date:	2009-11-16
Age:	25.0	Onset Date:	2009-11-21 Days later: 5
Gender:	Female	Submitted:	2009-11-23
State:	California	Entered:	2009-11-23

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: No

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Amoxicillin

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER		0	UN	UN

Administered by: Military Purchased by: Military

Symptoms: Herpes zoster, Pruritus, Rash

Write-up: Itching at right superior back for few days after injection and rash appeared 11/21/2009. Patient evaluated 11/23/2009 and diagnosed with Herpes Zoster

VAERS ID:	371000	Vaccination Date:	2009-11-05
Age:	14.0	Onset Date:	2009-11-05 Days later: 0
Gender:	Female	Submitted:	2009-11-23
State:	New York	Entered:	2009-12-01

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: None

Diagnostic Lab Data: Urticaria

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Negative

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEP	UNKNOWN MANUFACTURER
HPV	UNKNOWN MANUFACTURER
IPV	UNKNOWN MANUFACTURER
TD	UNKNOWN MANUFACTURER

Administered by: Public Purchased by: Unknown

Symptoms: Urticaria

Write-up: Patient seen 11/23/09 with urticarial rash. As per patient rash appeared 11/5/09 after vaccines were given. Vaccines given 11/509. Td, IPV, Hep B, Flu vaccine H1N1 virus. No previous reactions to vaccines. Patient denies egg or latex allergies.

VAERS ID:	372529	Vaccination Date:	2009-02-12
Age:	25.0	Onset Date:	2009-03-17 Days later: 33
Gender:	Female	Submitted:	2009-04-28
State:	Unknown	Entered:	2009-12-10

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: Preg. test 3/17/09, positive

Previous Vaccinations:

Other Medications:

Preexisting Conditions:

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	0250X		IM

Administered by: Unknown Purchased by: Unknown

Symptoms: Drug exposure during pregnancy, Pregnancy test positive

Write-up: Pt became pregnant while using ocp- TYCYCLEN LO, which she failed to take regularly. Lar p 1/27/2009. Had received GARASIL 12/1/08, 2/20/09 also.

VAERS ID:	372584	Vaccination Date:	2009-12-10
Age:	40.0	Onset Date:	2009-12-10 Days later: 0
Gender:	Male	Submitted:	2009-12-10
State:	New York	Entered:	2009-12-10

Life Threatening Illness? No

Died? No

Disability? No

Recovered? Yes

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data: P 88 BP 136/90

Previous Vaccinations:

Other Medications:

Preexisting Conditions: Cerebral Palsy with Ataxia

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HPV	UNKNOWN MANUFACTURER	102135P1		IM	LA

Administered by: Unknown Purchased by: Public

Symptoms: Flushing, Hyperhidrosis, Lethargy, Tachycardia

Write-up: Within 30 minutes of receiving IM injection - Carol seemed to become somewhat lethargic, became flushed, diaphoretic, with mild tachycardia. No difficulties breathing, no swelling noted. Recovered completely within 1 hour.

VAERS ID:	374232	Vaccination Date:	2009-10-30
Age:	17.0	Onset Date:	2009-10-30 Days later: 0
Gender:	Female	Submitted:	2009-12-19
State:	Colorado	Entered:	2009-12-19

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: Unknown

Diagnostic Lab Data: unknown

Previous Vaccinations:

Other Medications: unknown

Preexisting Conditions: Unknown

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU	UNKNOWN MANUFACTURER			OT	UN
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Public Purchased by: Other

Symptoms: Convulsion

Write-up: This registered nurse reports that this 17 year old female patient received Live Attenuated Influenza Vaccine (LAIV), 0.2mL, via inhalation, on 30Oct2009 for the influenza. The patient’s relevant concomitant medication includes human papillomavirus vaccine (HPV) on 30Oct2009. On 30Oct2009, this nurse reports that an automated vaccine tracking application recommended the Trivalent Influenza Vaccine (TIV) but due to the patient’s age she was eligible for LAIV. The registered nurse asked the patient the screening questions for both, LAIV and TIV, from memory, not looking at the “encounter”. After administering the HPV and LAIV, the patient stayed in the room for about 10 minutes since she had received the HPV vaccine and this can sometimes cause the patients to feel dizzy or sick. When she was getting up to leave, the registered nursed asked the patient if she felt dizzy and she said, “I get seizures.” The nurse did not ask this screening question prior to administering the LAIC vaccine. The outcome of the event is unknown.

VAERS ID:	374295	Vaccination Date:	2009-11-23
Age:	16.0	Onset Date:	2009-11-23 Days later: 0
Gender:	Female	Submitted:	0000-00-00
State:	Unknown	Entered:	2009-12-21

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness:

Diagnostic Lab Data:

Previous Vaccinations:

Other Medications:

Preexisting Conditions: None

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
FLU(H1N1)	UNKNOWN MANUFACTURER			IM	UN
FLUN	MEDIMMUNE VACCINES, INC.		0	IN
HPV	UNKNOWN MANUFACTURER			IM	UN
VARCEL	UNKNOWN MANUFACTURER			SC	UN

Administered by: Unknown Purchased by: Unknown

Symptoms: Syncope

Write-up: Following injections of H1N1, HPV, Varicella, & PPD vaccines; pt experienced a syncopal episode. Dr called into room and assessed pt until pt was back to baseline.

VAERS ID:	374746	Vaccination Date:	2009-08-20
Age:	14.0	Onset Date:	2009-08-25 Days later: 5
Gender:	Female	Submitted:	2009-12-22
State:	Michigan	Entered:	2009-12-22

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? Yes

Hospitalized? No

Current Illness: none

Diagnostic Lab Data: November 16h biopsy resulted in a pre-cancerous state. Anal condyloma

Previous Vaccinations:

Other Medications:

Preexisting Conditions: none

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEPA	UNKNOWN MANUFACTURER		1	IJ
HPV	UNKNOWN MANUFACTURER		1	IJ
MEN	UNKNOWN MANUFACTURER		1	IJ
VARCEL	UNKNOWN MANUFACTURER		1	IJ

Administered by: Private Purchased by: Private

Symptoms: Anogenital warts, Biopsy, Precancerous skin lesion

Write-up: Started noticing Anal Warts, Patient didn't report them to her mother until 20th of October when they were advanced to an uncomfortable stage, Near 20th of October, saw Dr regarding the warts, referred to another Dr, seen on November 4th and November 16th. Sent to surgeon on November 26th. 1st Surgery to remove outer anal warts was on December 18th. Patient requires future surgery to remove internal anal warts. Biopsy on November 16th showed pre-cancerous evolution of warts.

VAERS ID:	375881	Vaccination Date:	2009-11-30
Age:	16.0	Onset Date:	2009-12-04 Days later: 4
Gender:	Female	Submitted:	2010-01-05
State:	Colorado	Entered:	2010-01-05

Life Threatening Illness? No

Died? No

Disability? No

Recovered? No

ER or Doctor Visit? No

Hospitalized? No

Current Illness: No

Diagnostic Lab Data: Scheduled for appointment

Previous Vaccinations:

Other Medications:

Preexisting Conditions: No

CDC 'Split Type':

Vaccination	Manufacturer	Lot	Dose	Route	Site
HEP	UNKNOWN MANUFACTURER			UN	UN
HPV	UNKNOWN MANUFACTURER			UN	UN

Administered by: Private Purchased by: Private

Symptoms: Alopecia, Dehydration, Headache

Write-up: daughter was getting ready for school noticed hair shedding and had headaches throughout the day. This has continued to happen along with dehydration since then. She has completely lossed all her hair and currently wearing a wig to school.

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