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This is VAERS ID 269687

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 269687 (history)  
Form: Version .0  
Age: 18.0  
Gender: Female  
Location: Missouri  
Vaccinated:2006-12-11
Onset:2006-12-11
   Days after vaccination:0
Submitted: 2006-12-18
   Days after onset:7
Entered: 2006-12-27
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Nausea, Tremor
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2:30 gave injection. 2:40 Patient complained of being dizzy and nauseous. Laid patient down with wet cloth on head, gave water. 2:50 took blood pressure 100/52. Patient complains of shakiness. 3:05 No better took to urgent care.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=269687


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