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This is VAERS ID 262096

Case Details

VAERS ID: 262096 (history)  
Age: 17.0  
Gender: Female  
Location: New York  
Vaccinated:2006-08-14
Onset:2006-08-14
   Days after vaccination:0
Submitted: 2006-08-21
   Days after onset:7
Entered: 2006-08-25
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637C / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Chills, Cyanosis, Dizziness, Pallor, Pyrexia, Visual disturbance
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Guillain-Barre syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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:
CDC Split Type:

Write-up: 1 hr after vaccination, pt reported to feel dizzy, weak, vision went black for a few seconds, got pale with purple lips x 1/2hr. Felt better after drinking OJ. Then got temp 101F and chills x 1 day.


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