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This is VAERS ID 270352

Case Details

VAERS ID: 270352 (history)  
Form: Version 1.0  
Age: 27.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2007-01-10
Onset:2007-01-10
   Days after vaccination:0
Submitted: 2007-01-10
   Days after onset:0
Entered: 2007-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / 1 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dizziness, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: PT HAS FLU LIKE ONE OR 2 WEEKS PREVIOUS IN GOOD HEALTH AT TIME OF VACCINE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: HPV , Pt with good health.
CDC Split Type:

Write-up: Pt has dizziness and then pass out at the office. She was kept for observation her; VS were stable and then discharge home. She still feeling dizziness after later phone call.


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