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This is VAERS ID 263205

Case Details

VAERS ID: 263205 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2006-08-08
Onset:2006-08-11
   Days after vaccination:3
Submitted: 2006-09-14
   Days after onset:34
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0608USA02806

Write-up: Information has been received from a nurse concerning two female pts (WAES0609USA01112) who on approx 8/8/06 were vaccinated with HPV rL1 6 11 16 18 VLP vaccine yeast (lot not provided). It was reported that after receiving the vaccinations both pts fainted. Additional information regarding the pts was not provided. Additional information has been requested.


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