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This is VAERS ID 270034

Case Details

VAERS ID: 270034 (history)  
Age: 20.0  
Gender: Female  
Location: Florida  
Vaccinated:2006-12-28
Onset:2006-12-28
   Days after vaccination:0
Submitted: 2006-12-28
   Days after onset:0
Entered: 2007-01-04
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Hot flush, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad)

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

Write-up: Patient complain of nausea, light-headed, hot flashes, right after injection. Told patient to lay down on back on the table, took some water about 25 minutes recheck BP and pulse. Ok to leave.


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