National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 266581

Case Details

VAERS ID: 266581 (history)  
Age: 19.0  
Gender: Female  
Location: Virginia  
Vaccinated:2006-10-13
Onset:2006-10-13
   Days after vaccination:0
Submitted: 2006-11-08
   Days after onset:26
Entered: 2006-11-13
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2165CA / 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood pressure decreased, Bradycardia, Heart rate irregular
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiac arrhythmia terms, nonspecific (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Fever~DTP (no brand name)~1~1.17~In Patient
Other Medications: Allegra, Nasolcrom, Acne meds, Bactrim
Current Illness: NONE
Preexisting Conditions: Acne, allergies to raw peaches, carrot, potatoes, kiwi, apples, cherries.
Diagnostic Lab Data: Skin prick tested for allergies.
CDC Split Type:

Write-up: Vasovagal RXN. Pt HR decreased to 50 and BP decreased.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=266581


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166