| Days after vaccination:||0
| Days after onset:||6
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS
||AHAVB115BA / -
||- / -
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0011U / -
||- / -
Administered by: Private Purchased by: Unknown
Symptoms: Blood pressure decreased,
Loss of consciousness,
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? Yes
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic to Ceclor
Diagnostic Lab Data: Brain/C spin CT negative.
CDC Split Type:
Write-up: Approx 2-5 minutes after receiving vaccines patient passed out while getting dressed. There was no witness to the event. Patient lost consciousness and fell from the seated position hitting head in 3 places. Blood pressure had dropped. Patient had a short episode of tremors during the recovery phase. Patient was allowed to rest and rehydrate until blood pressure returned to normal (100/80) 30 minutes later.