June 16, 2008 / First Gardasil Vaccine and Menactra Vaccine June 21, 2008 / Diagnosed Vaso Vagal at Hospital Emergency Room after being taken by ambulance for fainting August 19, 2008 / Second Gardasil Vaccine September 2, 2008/ Has one apparent seizure in her dormitory and is taken by ambulance to facility.  The diagnosis on her release paper states 'possible seizure disorder early onset' and she is instructed to follow-up with a doctor in 24 hours or to return to facility if her condition gets worse.  She experiences a second seizure outside the facility Front Door and is admitted to the hospital.  9/19/08 Reviewed ER records of 6/21/08. FINAL DX: syncope & dehydration Records reveal patient experienced nausea, HA & passing out in shower after having consumed large amount of alcohol on 6/20. Tx w/IVF, improved & d/c to home. .  10/7/08 Reviewed hospital medical records of 9/2-9/3/2008. FINAL DX: no d/c summary available.  Neuro consult states new onset seizure disorder, epileptic vs nonepileptic. Records reveal patient experienced witness seizure while in ER.  Patient was confused, drooling, generalized shaking & bit her tongue x approx 5 min.  Then confused & nauseous.  Tx w/antiseizure meds.  Had been seen in ER night before for similar seizure w/similar features.  While being evaluated in ER had a second seizure.  Neuro consult done & admitted for observation.  To f/u as outpatient.  5/7/2009 Records received neurology DOS 9/9/08-2/10/09. FINAL DX: Epileptic seizure Several visits, feeling tired, difficulty sleeping. Several seizures c tongue biting, followed by postictal confusion. Pt does not recollect events. Follow-up: Following this letter are 2 pages of revised VAERS reports for my daughter's apparent adverse reaction to the HPV Vaccine, GARDASIL. I am concerned the previous report I submitted does not properly reflect my daughter's situation. Per the online VAERS data, her symptoms are listed as syncope. True, she was diagnosed by an ER Doctor as having had a vasovagal episode on June 21, 2008 five days after receiving her first dose of GARDASIL. But, she suffered 2 Grand Mal Seizures September 2 and 3, 2008 approximately 20 days after her second GARDASIL shot and was hospitalized. On September 9, 2008 she began seeing a neurologist who diagnosed her as epileptic. Please note it was he who confirmed her June event to be seizure as she severely bit her tongue. I fear her episodes are grouped in with others who may have 'passed out' in their doctor's office. This was not my daughter's experience. The ER doctor who treated her in September for seizure released her with a diagnosis of 'possible seizure disorder early onset'. However as my daughter left the ER, she had a second seizure which the same doctor witnessed. Her episode lasted 40 seconds and her arms and legs flailed. She was then admitted to the hospital. As I said she has a diagnosis of epilepsy, takes medication to control her seizures and has experienced 2 more seizures on 10/29/08 and 02/06/09. Pt experienced seizures not syncope as your report states. 1/27/2010 On June 21, 2008, five days after receiving GARDASIL, MENCTRA, and TDAP, patient had a seizure. On September 2, 2008, 20 days after receiving her second GARDASIL vaccination she had 2 more seizures. To date, she has had 5 grand mal seizures is under the care of a neurologist and takes 1500 mlgs of anti-seizure medications daily.