This is VAERS ID 263220
(NOTE: This result is from the 12/30/2006 version of the VAERS database)
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| VAERS ID: | 263220 (history) | Vaccinated: | 2006-08-21 | | Age: | 22.0 | Onset: | 2006-08-21, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-09-14, Days after onset: 24 | | Location: | Illinois | Entered: | 2006-09-19, Days after submission: 5 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: ORTHO TRI CYCLEN | | Current Illness: | | Preexisting Conditions: CONCURRENT CONDITIONS: drug hypersensitivity | | Diagnostic Lab Data: NONE | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) | MERCK & CO. INC. | | | | UN | |
| Administered by: Other Purchased by: Unknown | Symptoms: 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), Hypotonic-hyporesponsive episode (broad)
| | Write-up: Information has been received from a 22 year old female with an allergy to meperidine hydrochloride (DEMEROL) who on 21-AUG-2006 was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ethinyl estradiol/norgestimate (ORTH"O TRI CYCLEN). On 21-AUG-2006, following the vaccination, the patient fainted. Unspecified medical attention was sought. At the time of this report, the patient was recovering. Additional information has been requested. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=263220
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