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Case Details (Sorted by Age)

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VAERS ID:288721 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:California  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA00424
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 14 year old female who was vaccinated with a first dose of Gardasil. Shortly after receiving the vaccination the patient fainted. Unspecified medical attention was sought. Subsequently, the patient recovered from fainting. Additional information has been requested.

VAERS ID:288735 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:Unknown  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA00834
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0IMUN
Administered by: Other     Purchased by: Other
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
Write-up: Information has been received from a physician''s assistant concerning a 14 year old female who was vaccinated intramuscularly with the first dose of Gardasil. It was reported that "within the same day she received the vaccine, the patient experienced "tightening of airway". The physician''s assistant was unsure if this was related to the Gardasil because the patient had played softball on a hot, dusty field the same day she received Gardasil. The patient''s mother had given her BENADRYL before contacting the physician. The physician''s assistant prescribed for the patient 5 days worth of ALLERGAN. It was reported that after the patient took the prescribed steroids she had recovered. It was reported that the patient''s sister had completed the vaccine series for Gardasil without any trouble. No further information was provided. Additional information has been requested.

VAERS ID:288880 (history)  Vaccinated:2007-07-09
Age:14.0  Onset:2007-07-10, Days after vaccination: 1
Gender:Female  Submitted:2007-08-14, Days after onset: 35
Location:Illinois  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown None
Diagnostic Lab Data: Unknown None
CDC Split Type: WAES0707USA01499
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1447P0IMUN
Administered by: Private     Purchased by: Public
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)
Write-up: Information has been received from a registered nurse concerning a 14 year old female with no medical history and no drug allergies, who on 09-JUL-2007 in the evening was vaccinated intramuscularly with a first dose of Gardasil (Lot# 655617/1447P). There were no illness at the time of the vaccination. On 10-JUL-2007 the patient developed a nose bleed. The patient recovered on 10-JUL-2007. There were no additional reports of the bleeding continuing. It was noted thathe patient went to vollyball practice right after receiving the vaccination. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 8/14/2007. Additional information is not expected.

VAERS ID:288886 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:Pennsylvania  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0707USA01555
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Other     Purchased by: Other
Symptoms: Muscle haemorrhage, Muscle swelling, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: Information has been received from a nurse concerning her 14 year old daughter who "months ago" was vaccinated with a dose of Gardasil. Approximately two weeks after vaccination, the patient experienced a "painful lump in her deltoid muscle". The physician reported that it "appears to be a hematoma". Unspecified medical attention was sought. The patient''s symptoms resolved after a few weeks. Additional information has been requested.

VAERS ID:289300 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:Unknown  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA02312
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: Information has been received from a nurse practitioner concerning a 14 year old female, who, on an unspecified date, was vaccinated with a dose of Gardasil. Subsequently, the patient developed urticaria. At the time of the report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.

VAERS ID:289498 (history)  Vaccinated:2007-07-18
Age:14.0  Onset:2007-07-18, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 27
Location:Virginia  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA03322
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: Information has been received from a physician concerning a 14 year old female who on 18-JUL-2007 was vaccinated with a dose of Gardasil. Concomitant therapy included Menactra. On 18-JUL-2007 the patient fainted after vaccination with Gardasil while still in the office. Unspecified medical attention was sought. On 18-JUL-2007 the patient recovered. Additional information has been requested.

VAERS ID:289502 (history)  Vaccinated:2007-07-11
Age:14.0  Onset:2007-07-11, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 34
Location:Missouri  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA03380
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  IMUN
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)
Write-up: Information has been received from a physician concerning a female who was vaccinated IM with a dose of Gardasil. Subsequently the patient experienced dizziness and nausea for approximately 15 minutes after the vaccination. (The patient did not have anything to eat or drink prior to the office visit). Medical attention was sought. The patient recovered from dizziness and nausea. No product quality omplaint was involved.

VAERS ID:289526 (history)  Vaccinated:2007-07-12
Age:14.0  Onset:2007-07-14, Days after vaccination: 2
Gender:Female  Submitted:2007-08-14, Days after onset: 31
Location:New Jersey  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Seasonal allergy; Patellofemoral pain syndrome
Preexisting Conditions: Unknown
Diagnostic Lab Data: Serum immunoglobin A, 07/28/07, 58 mg/dL; serum immunoglobulin G, 07/28/07, 590 mg/dL; serum immunoglobulin M, 07/28/07, 66 mg/dL; Neisseria gonorrhea, 07/17/07, negative for neisseria gonorrhoea; serum C-reactive protein, 07/17/07, 0.3 mg/dL; WBC count, 07/17/07, 6.1 Thou; red blood cell count, 07/17/07, 4.28 mil/u; hemoglobin, 07/17/07, 13.2 g/dL; hematocrit, 07/17/07, 36.5%; mean corpuscular volume, 07/17/07, 85.7 fL; mean corpuscular, 07/17/07, 30.7 pg; mean corpuscular, 07/17/07, 36.1 g/dL; RDW, 07/17/07, 13.1%; platelet count, 07/17/07, 199 thou; mean platelet volume, 07/17/07, 8.4 fL; segmented neutrophil, 07/17/07, 50.2%; absolute neutrophil, 07/17/07, 3062/ul; eosinophil ocunt, 07/17/07, 7.5%; basophil count, 07/17/07, 0.7%; lympho
CDC Split Type: WAES0707USA03820
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0525U0IMRA
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2227AA0IMLA
TDAP: TDAP (BOOSTRIX)GLAXOSMITHKLINE BIOLOGICALS  UNUN
VARCEL: VARICELLA (VARIVAX)MERCK & CO. INC.0606U1SCLA
Administered by: Private     Purchased by: Other
Symptoms: Bacterial DNA test positive, Basophil count normal, Blood immunoglobulin A normal, Blood immunoglobulin G normal, Blood immunoglobulin M normal, C-reactive protein normal, CSF monocyte count negative, Candidiasis, Culture throat positive, Eosinophil count normal, Fungal test positive, Gram stain negative, Haematocrit normal, Haematology test normal, Haemoglobin normal, Lymphocyte count normal, Mean cell volume normal, Mean platelet volume normal, Mouth ulceration, Neutrophil count normal, Oral candidiasis, Oropharyngeal blistering, Oropharyngeal pain, Pharyngitis, Platelet count normal, Potassium hydroxide preparation negative, Rash papular, Red blood cell count normal, Red blood cell sedimentation rate normal, Red cell distribution width normal, Throat lesion, White blood cell count normal
SMQs:, Severe cutaneous adverse reactions (broad), Agranulocytosis (broad), Systemic lupus erythematosus (broad), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow)
Write-up: This is in follow-up to report(s) previously submitted on 8/14/2007. Information has been received from a consumer concerning her 14 year old daughter with seasonal allergies and patellofemoral syndrome who on 12-JUL-2007 at 7:37 pm, was vaccinated IM in the right arm with a first dose of GARDASIL (Lot # 658100/0525U). Concomitant suspect therapy included a dose of Boostrix and a dose of Menactra. "Within 48 hours after receiving the vaccine", the patient developed ulcers in her mouth. Unspecified medical attention was sought. It was reported that the patient was advised to visit the infectious disease department in order to treat the ulcers in her mouth. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report (s) previously submitted on 8/14/2007. Initial and follow up information has been received from a nurse concernign a 14 year old female student with no known allergies, who on 12-JUL-2007 at 19:37, was vaccinated IM in the right arm with a first dose of GARDASIL (Lot# 658100/0525U). Concomitant suspect vaccination included a second dose of VARIVAX (Oka/Merck) (Lot# 657652/0606U) administered subcutaneously in the left arm. Concomitant vaccinations included a dose of BOOSTRIX and a first dose of MENACTRA (Lot# U2227AA) administered intramuscularly in the left arm. There were no illnesses at the time of vaccination. "Within 48 hours after receiving the vaccine", the patient developed ulcers in her mouth. On 16-JUL-2007 at 18:11 the patient was seen in the office and had developed white patches in her throat, however her throat was not sore. The actual onset was 1 to 2 days prior to office visit. It was reported that the patient was advised to visit the infectious disease department in order to treat the ulcers in her mouth. On 18-JUL-2007 the patient was seen in the emergency room for evaluation of white patches. A culture provided Candida. The patient was treated with ROCEPHIN and nystatin oral suspension. On 17-JUL-2007 a series of laboratory diagnostic tests were performed (see lab section for results). The patient was scheduled to see an allergist/immunologist. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. It was noted that on 06-SEP-1997 the patient was vaccinated SC in the left arm with a second dose of VARIVAX (Merck) (Lot# 657652/0606U). Additional information is not expected. Follow up information received from the physician indicated that on 14-JUL-2007, the patient developed "white lumps" in her throat. On 16-JUL-2007, the patient visited the physician''s office with "white papules on uvuls and soft palate," but no exudate and "non-monillial." The patient did not have a sore throat nor cervical adenopathy and felt well. The physician diagnosed acute pharyngitis, prescribed nystatin for presumptive thrush and instructed the patient to gargle with salt water that night. On 17-JUL-2007, the physician contacted the infectious disease department at the hospital and the patient was seen in the ER. The ER physician questioned an allergic reaction and an extensive workup was done, including culture and blood work. The patient then complained of soreness in her throat. Treatment included an IM dose of Ceftriaxone in the ER. All blood work and diagnostics were negative or normal with the exception of a positive fungal culture of the oropharynx for candida albicans. She was diagnosed with acute pharyngitis and discharged with nystatin oral suspension, prescribed four times daily for 7 days. At the time of this report, the outcome of the events was unknown. Additional information has been requested.

VAERS ID:289658 (history)  Vaccinated:2006-12-22
Age:14.0  Onset:2007-02-01, Days after vaccination: 41
Gender:Female  Submitted:2007-08-14, Days after onset: 193
Location:Pennsylvania  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: computed axial 02/07 results not reported, pelvic ultrasound, stool culture
CDC Split Type: WAES0707USA04339
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UNUN
Administered by: Other     Purchased by: Other
Symptoms: Abdominal pain, Abdominal tenderness, Back pain, Computerised tomogram, Culture stool, Diarrhoea, Dizziness, Nausea, Paraesthesia, Ultrasound pelvis, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)
Write-up: Information has been received from a physician concerning a 14 year old female who on 22-DEC-2006 was vaccinated with a first dose of Gardasil (lot# unknown) injection. In February 2007, the patient came to the office complaining of abdominal pain, vomiting, nausea. Medical attention was sought. The physician sent the patient to the emergency room because she felt abdominal tenderness. At the hospital, the patient had a computed axial tomography (CT scan) but no results were reported. On an unspecified date 2 days after the emergency room visit, the patient reported diarrhea. The outcome of the event was not reported. On 14-MAR-2007 the patient received a second dose of Gardasil. In May 2007, the patient reported she experience backpain, tingling in the fingers and felt lightheaded. On an unspecified date the patient had a pelvic ultrasound and a stool culture but no results were reported. On 12-JUL-2007 the patient received a third dose of Gardasil. On 24-JUL-2007 the patient experienced stomach pain but no diarrhea or fever. The patient stated that she has had stomach pain on and off since February. The physician referred the patient to a GI specialist. At the time of reporting the patient has not recovered. No additional information was provided. Additional information has been requested.

VAERS ID:289812 (history)  Vaccinated:2007-07-25
Age:14.0  Onset:2007-07-25, Days after vaccination: 0
Gender:Female  Submitted:2007-08-14, Days after onset: 20
Location:New Mexico  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: blood pressure 07/25/07 90/60 - sitting, blood pressure 07/25/07 100/6 - at 11:30, total heartbeat count 07/25/07 76 - at 11:30
CDC Split Type: WAES0707USA05029
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0244U0UN 
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR  UN 
Administered by: Private     Purchased by: Private
Symptoms: Blood pressure decreased, Dizziness, Gaze palsy, Musculoskeletal stiffness, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad)
Write-up: Information has been received from a physician a 14 year old female who on 25-JUL-2007, at 10:00, was vaccinated into the right deltoid with a first dose of Gardasil (656051/0244U). Concomitant therapy included Menactra. On 25-JUL-2007, immediately after receiving the vaccination the patient became lightheaded, had a syncopal episode (approximately 5 second), developed stiffening of arms and eyes rolled back. Blood pressure measurement after syncope was 90/60 (sitting). At 11:30, blood pressure measurement was 100/68 and pulse was 76. There was no seizure activity and the patient was no post-ictal. On 25-JUL-2007, the patient recovered. No further information is available.

VAERS ID:289892 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:Unknown  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA00218
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC. 0UN 
Administered by: Other     Purchased by: Other
Symptoms: Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Information has been received a representative at the Health Department concerning a 14 year old female who was vaccinated with a first dose of Gardasil. Subsequently the patient developed swelling in both arms after receiving the first dose of Gardasil. Unspecified medical attention was sought. Subsequently, the patient is fine and the swelling has gone down and the patient recovered. Additional information has been requested.

VAERS ID:289898 (history)  Vaccinated:0000-00-00
Age:14.0  Onset:0000-00-00
Gender:Female  Submitted:2007-08-14
Location:Tennessee  Entered:2007-08-16, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA00326
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UN 
Administered by: Other     Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: Information has been received from a physician concerning a 14 year old female who on an unspecified date was vaccinated with Gardasil (lot # unknown) and developed a rash. At the time of reporting it is unknown if the patient has recovered. This is one of two reports received from the same source. Additional information has been requested.

VAERS ID:288356 (history)  Vaccinated:2007-08-07
Age:14.0  Onset:2007-08-07, Days after vaccination: 0
Gender:Female  Submitted:2007-08-13, Days after onset: 6
Location:Massachusetts  Entered:2007-08-17, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.0930U0IMLA
Administered by: Private     Purchased by: Unknown
Symptoms: Blood pressure decreased, Dizziness, Heart rate decreased, Loss of consciousness, Malaise, Pain in extremity, Pallor
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Tendinopathies and ligament disorders (broad)
Write-up: Within 1 min of receiving Gardasil, pt was having finger aches and stated that she felt dizzy. Pt started to lay down then passed out, became pale. VS - HR 42, BP 80/38, O2 Sat 100%. Regained conscious, felt "sick lightheaded". IV started by MD. Pt sent to ER for further evaluation.

VAERS ID:288450 (history)  Vaccinated:2007-03-01
Age:14.0  Onset:2007-03-01, Days after vaccination: 0
Gender:Female  Submitted:2007-08-17, Days after onset: 168
Location:New Jersey  Entered:2007-08-20, Days after submission: 3
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PAXIL, KLONOPIN
Current Illness:
Preexisting Conditions: The patient had a history of depression and sulfa allergy.
Diagnostic Lab Data:
CDC Split Type: 200702751
Vaccination
Manufacturer
Lot
Dose
Route
Site
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Private     Purchased by: Unknown
Symptoms: Dyspnoea, Hypersensitivity, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Initial report received from another company (no reference number provided) in the United States on 07 August 2007. The other company received the report from a health care professional. A 14-year-old female patient with a medical history of depression and sulfa allergy had received typhoid vaccine in March 2007. The trade name, manufacturer, lot number, route and site of administration were not reported. An unspecified amount of time following vaccination, the patient developed a severe allergic reaction. The patient was taken to the hospital and treated in the emergency room for difficulty breathing and a "throat that closed off". The patient was given Benadryl in the emergency room and was sent home on two days of prednisone. The event was considered by the reporter to be life threatening. The patient recovered from the event. The product was not reintroduced to the patient after the event.

VAERS ID:288452 (history)  Vaccinated:2007-08-07
Age:14.0  Onset:2007-08-07, Days after vaccination: 0
Gender:Female  Submitted:2007-08-16, Days after onset: 9
Location:Maryland  Entered:2007-08-20, Days after submission: 4
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 200702753
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2370AA0IMRA
Administered by: Private     Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Muscle twitching
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Vestibular disorders (broad)
Write-up: This case was reported by a health professional in the United States on 08 August 2007. A 14-year-old female patient with no reported medical history received a right deltoid intramuscular injection of Menactra (lot number U2378AA) on 07 August 2007. Less than five minutes following administration, the patient complained of dizziness and increased perspiration, and was placed in a lying position. It was then witnessed that the patient''s upper and lower lips began twitching, which lasted approximately five minutes. The patient did not lose consciousness, and pulse and blood pressure "did not change and were okay". The patient recovered.

VAERS ID:288478 (history)  Vaccinated:2007-08-13
Age:14.0  Onset:2007-08-13, Days after vaccination: 0
Gender:Male  Submitted:2007-08-17, Days after onset: 4
Location:Maryland  Entered:2007-08-20, Days after submission: 3
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2328AA0IMLA
Administered by: Public     Purchased by: Public
Symptoms: Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)
Write-up: child had shot approx 11am-mom called at 4:30 pm stating child had c/o headache and vomited x 2 since injection. Advised to go to ER. 8/14/07 spoke with mom for follow up didn''t go to ER-symptoms resolved by 9 pm that evening.

VAERS ID:288491 (history)  Vaccinated:2007-08-09
Age:14.0  Onset:2007-08-10, Days after vaccination: 1
Gender:Female  Submitted:2007-08-10, Days after onset: 0
Location:South Carolina  Entered:2007-08-20, Days after submission: 10
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: EKG/ Ct scan - head
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2221AA0 LA
TDAP: TDAP (ADACEL)SANOFI PASTEURC2454AA0 RA
Administered by: Other     Purchased by: Public
Symptoms: Computerised tomogram, Dizziness, Electrocardiogram, Fall, Gaze palsy, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Ocular motility disorders (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)
Write-up: C/O dizziness, then eyes rolled back and forth. Then fell down and passed out x 15 minutes.

VAERS ID:288493 (history)  Vaccinated:2007-05-26
Age:14.0  Onset:2007-06-10, Days after vaccination: 15
Gender:Female  Submitted:2007-07-31, Days after onset: 51
Location:Texas  Entered:2007-08-20, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Refer to orthopedics and neurologist
CDC Split Type: TX07069
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.1424F1IMLA
Administered by: Private     Purchased by: Public
Symptoms: Arthralgia, Erythema, Myalgia, Swelling
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Write-up: Patient came in 6/11/07 complaining of pain right wrist going to antebrachial area, then left wrist join antebrachial area, start in 6/10/07 pain and swelling right and left wrist, tenderness muscle of bottom arms join to the shoulder small redness on right wrist looks mosquito or insect bite.

VAERS ID:288521 (history)  Vaccinated:2007-08-20
Age:14.0  Onset:2007-08-20, Days after vaccination: 0
Gender:Male  Submitted:2007-08-20, Days after onset: 0
Location:Illinois  Entered:2007-08-21, Days after submission: 1
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: school vacination and physical
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (NO BRAND NAME)UNKNOWN MANUFACTURER    
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2391BA   
Administered by: Unknown     Purchased by: Unknown
Symptoms: Erythema, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
Write-up: red raised hives all over body

VAERS ID:288548 (history)  Vaccinated:2007-08-17
Age:14.0  Onset:2007-08-20, Days after vaccination: 3
Gender:Male  Submitted:2007-08-21, Days after onset: 1
Location:New Jersey  Entered:2007-08-21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
    Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: No
Diagnostic Lab Data: Lumbar puncture 9/17/07-records received-CSF culture negative. CSF positive for enterovius RNA. CT scan of brain normal. Spinal tap revealed 110 WBC with only 45 RBC and glucose of 51 and total protein 44.
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEURU2393BA0IMUN
Administered by: Private     Purchased by: Private
Symptoms: CSF culture negative, CSF glucose normal, CSF protein normal, CSF test abnormal, CSF white blood cell count increased, Computerised tomogram normal, Enterovirus infection, Headache, Lumbar puncture, Meningitis viral, Myalgia, Nausea, Pyrexia, Red blood cells CSF positive, Scan brain, Vaccine breakthrough infection, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Tendinopathies and ligament disorders (broad)
Write-up: Patient developed severe headache, vomiting, muscle aches, fever 9/17/07-records received for DOS 8/20-8/29/07- DC DX: Viral menigitis enterovirus. Presented with headache, nausea and emesis. Discharged after 4 day stay but on way out of hospital developed severe c/o and seen in ER for fever and headache. Received menigitis vaccine 48 hours prior to presenting to ER for first admission. Follow-up: Patient had viral meningitis confirmed (enterovirus).

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