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This is VAERS ID 269199

Case Details

VAERS ID: 269199 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Virginia  
   Days after vaccination:0
Submitted: 2006-12-14
   Days after onset:31
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Incorrect route of drug administration, Nausea
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Medication errors (narrow), Hypoglycaemia (broad)

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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0611USA04373

Write-up: Information has been received from a registered nurse concerning her 16 year old daughter who on 13 Nov 2006 was vaccinated with her first dose of Gardasil (yeast). The patient''s mother reported that she was vaccinated subcutaneously. Conflicting information was received from the administering licensed practical nurse who reported that she was positive the patient was vaccinated intramusculaurly into the deltoid area and not subcutaneously. On 13 Nov 2006, a few minutes after the vaccine was administered, the patient experienced nausea, dizziness and sweating. Unspecified medical attention was sought. Subsequentely, the patient recovered from nausea, dizzines and sweating in a few minutes. Additional information has been received from a registered nurse. The nurse reported that her fellow nurse gave the dose of Gardasil (yeast) IM instead of subcutaneous. Additional information has been requested.

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