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This is VAERS ID 272065

Case Details

VAERS ID: 272065 (history)  
Age: 21.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-02-07
Onset:2007-02-07
   Days after vaccination:0
Submitted: 2007-02-09
   Days after onset:2
Entered: 2007-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / IM

Administered by: Other       Purchased by: Private
Symptoms: Blood glucose normal, Body temperature decreased, Dizziness, Dyspnoea, Headache, Heart rate increased, Oxygen saturation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE per patient
Preexisting Conditions: ASTHMA
Diagnostic Lab Data: blood glucose 86 mg/dl, temperature 97.1, pulse 88 and regular, BP 110/76 SpO2 99%
CDC Split Type:

Write-up: Headachem dizziness, increased heart rate, light-headness, shortness of breath. Symptoms began approximately 40 minutes after vaccination.


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