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This is VAERS ID 267481

Case Details

VAERS ID: 267481 (history)  
Age: 20.0  
Gender: Female  
Location: New York  
Vaccinated:2006-10-01
Onset:2006-10-01
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:44
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre 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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA00728

Write-up: Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


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