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This is VAERS ID 270005

Case Details

VAERS ID: 270005 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-01-03
Onset:2007-01-03
   Days after vaccination:0
Submitted: 2007-01-03
   Days after onset:0
Entered: 2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2491AA / 1 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Z0664 / 1 LA / IM

Administered by: Military       Purchased by: Military
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


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