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This is VAERS ID 271541

Case Details

VAERS ID: 271541 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2007-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653735/0688F / 2 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Presyncope, Trendelenburg position
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

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

Write-up: Information has been received from a nurse concerning a 12 year old femmale who on 25-JAN-2007 was vaccinated with GARDISIL, lot # 653735/0688P in the left arm (second dose). On 25-JAN-2007 after receiving vaccine and getting off table felt dizzy walked to appointment desk and became very "oozy" almost fainted mom caught her put in trendelenberg position, given orange juice quickly felt better. Additional information has been requested.

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