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This is VAERS ID 271103

Case Details

VAERS ID: 271103 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:6
Submitted: 2007-01-16
   Days after onset:82
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: blood pressure, 10/26/06, 118/6; diagnostic laboratory - "blood work" results not reported; respiratory rate, 10/26/06, 20; vital sign, 10/26/06, 92, pulse
CDC Split Type: WAES0612USA01650

Write-up: This is in follow-up to report(s) previously submitted on 1/16/2007. Information has been received from a "nurse" via a company representative and follow up information has been received from a licensed practical nurse concerning an 18 year old female student who on 26-OCT-2006, was vaccinated in the arm with a first dose of GARDASIL (Lot# 653735/0688F). The nurse reported that the patient experienced nausea and dizziness the same day as the vaccination. Follow up information from the nurse also indicated that the patient had experienced nausea, shaking and a "stoned feeling" on 26-OCT-2006. The patient returned to the office and was stable with no urticaria, no erythema, no swelling. Her blood pressure was 118/62, pulse 92 and respiration 20. It was reported that the patient had "blood work" done (results not reported). It was not known whether the patient recovered. The patient sought unspecified medical attention. Subsequently, on the same day, 26-OCT-2006, the patient recovered. Additional information is not expected.

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