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This is VAERS ID 271135

Case Details

VAERS ID: 271135 (history)  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-01-16
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other       Purchased by: Military
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA03151

Write-up: Information has been received from a clinical coordinator at a doctor''s office concerning a female who was vaccinated with a first and second dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml). Subsequently, the patient fainted after receiving both doses. The patient recovered. There were no relevant diagnostic test or laboratory data. Additional information has been requested.


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