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This is VAERS ID 271144

Case Details

VAERS ID: 271144 (history)  
Age: 22.0  
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: Other
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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0612USA03533

Write-up: Information has been received from a nurse practitioner concerning a 22 year old female with pertinent medical history and drug reaction/allergies not reported who on an unspecified date was vaccinated with the initial dose of Gardasil injection. Concomitant medication was not reported. In December 2006 ( a few weeks ago), the patient fainted after Gardasil was administered. The patient sought unspecified medical attention. The outcome of the event was not reported. Additional information has been requested.


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