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This is VAERS ID 268544

Case Details

VAERS ID: 268544 (history)  
Age: 16.0  
Gender: Female  
Location: California  
Vaccinated:2006-12-05
Onset:2006-12-06
   Days after vaccination:1
Submitted: 2006-12-07
   Days after onset:1
Entered: 2006-12-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / - - / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2457AA / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Headache, Insomnia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Several hours after vaccines given pt complained of HA and dizziness, insomnia. Next am s/s worse fainted. taken by paramedics to Hospital ER on 12/6/06.


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