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This is VAERS ID 271145

Case Details

VAERS ID: 271145 (history)  
Age: 20.0  
Gender: Female  
Location: Maryland  
Vaccinated:2006-12-19
Onset:2006-12-19
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:107
Entered: 2007-01-22
   Days after submission:73
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Flushing
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypersensitivity (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Desogen, Allegra, Motrin, Zantac
Current Illness: Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: blood pressure, 12/19/06, 101/6 mmHg
CDC Split Type: WAES0612USA03566

Write-up: Information has been received from a licensed practical nurse concerning a 20 year old female who had hypersensitivity reported as "Motrin for allergies". On 19 Dec 2006, the patient was vaccinated intramuscularly with the firs "single dose vial" of Gardasil (Lot # 653938/0954F). Concomitant therapy included Motrin, Desogen, Allegra and Zantac. On 19 Dec 2006, "almost immediately after vaccination", the patient became a little flushed in the face and had to take a minute to sit and gather herself together. The patient was noted to have a blood pressure of 101/65 mmHg (date unknown). The patient sought unspecified medical attention. It was reported that the patient" improved within seconds". On 19 Dec 2006, the patient had recovered from the event. The licensed practical nurse reported that they were planning to vaccinate for the second and third dose as indicated in the "PI". Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Information has been received from a licensed practical nurse concerning a 20 year old female who had hypersensitivity reported as MOTRIN for allergies" and no illness at the time of vaccination. On 19-Dec-2006, the patient was vaccinated intramuscularly with the first "single dose vial" of GARDASIL (Lot # 653938/0954F). Concomitant therapy included MOTRIN, DESOGEN, ALLEGRA and ZANTAC. On 19-DEC-2006, "almost immediately after vaccination", the patient became a little flushed in the face, experienced dizziness, and had to take a minute to sit and gather herself together. The patient was noted to have a blood pressure of 101/65 mmHg (date unknown). Vital signs taken were very similar to those taken during the exam. It was reported that the patient "improved within seconds". On 19-DEC-2006, the patient had recovered from the event and left the office without further incident. The licensed practical nurse reported that they were planning to vaccinate for the second and third dose as indicated in the "PI". No additional information is expected.


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