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This is VAERS ID 269716

Case Details

VAERS ID: 269716 (history)  
Age: 15.0  
Gender: Female  
Location: Washington  
Vaccinated:2006-12-14
Onset:2006-12-14
   Days after vaccination:0
Submitted: 2006-12-15
   Days after onset:1
Entered: 2006-12-27
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Dizziness, Dyspnoea, Flushing, Nausea
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (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: NONE
Diagnostic Lab Data: NONE- given Benadryl
CDC Split Type:

Write-up: 1 hour after receiving HPV vaccine became dizzy, skin sensation of burning and flushing all over. Nausea with SOB with talking. Generalized weakness.


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