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This is VAERS ID 270249

Case Details

VAERS ID: 270249 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Maryland  
   Days after vaccination:1
Submitted: 2007-01-05
   Days after onset:36
Entered: 2007-01-09
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Dysgeusia, Headache
SMQs:, Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets. Zoloft
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0612USA00474

Write-up: Information has been received from a nurse concerning a 17 year old female who on 29 Nov 2006 was vaccinated with the second dose (first dose date not reported) Gardasil (Lot 653938/0954F). Concomitant therapy included Adderall tablets and Zoloft. On 30 Nov 2006 the patient experienced dizziness, a bad taste in her mouth and a headache. It was reported that the patient was able to attend school that day. The patient''s dizziness and bad taste and headache persisted. It was noted that the patient did not have adverse events after her first dose of Gardasil. The patient sought unspecified medical attention. Additional information has been requested. Follow up information received from a nurse practitioner stated that the vaccination that the patient received on 29-NOV-2006 intramuscularly in her right deltoid was the first dose of GRDASIL (Lot# 653938/0954F), not the second as previously reported. It was also reported that the patient had recovered from the dizziness and bad taste in her mouth. Additional information not requested.

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