| Days after vaccination:||0
| Days after onset:||0
| Days after submission:||6
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0961F / 0
||RA / IM
|MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR
||U2108AA / 0
||LA / ID
Administered by: Private Purchased by: Private
Symptoms: Blood pressure decreased,
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? No
Other Medications: Prozac, Trisprintac
Preexisting Conditions: Depression
Diagnostic Lab Data: Labs drawn just prior to vaccines (routine).
CDC Split Type:
Write-up: Patient received vaccines, then felt nauseous, dizzy, was pale and diaphoretic, BP decreased to 80/50, pt placed supine with feet elevated, given Benadryl 20 mg PO, sips water, felt better after about 1 hour.