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This is VAERS ID 268146

Case Details

VAERS ID: 268146 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Illinois  
Vaccinated:2006-11-27
Onset:2006-11-28
   Days after vaccination:1
Submitted: 2006-12-01
   Days after onset:3
Entered: 2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Vertigo
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC Split Type:

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.


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