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This is VAERS ID 264585

Case Details

VAERS ID: 264585 (history)  
Age: 22.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-10-10
Onset:2006-10-10
   Days after vaccination:0
Submitted: 2006-10-16
   Days after onset:6
Entered: 2006-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Peripheral coldness
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt experienced paleness, sweating, cold hands, nausea, dizziness and lightheadedness.


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