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This is VAERS ID 272280

Case Details

VAERS ID: 272280 (history)  
Age: 15.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-01-03
Onset:2007-01-03
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:42
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

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? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA00415

Write-up: Information has been received from a physician concerning a 15 year old female who on 03-Jan-2007 was vaccinated with a 0.5 ml dose of Gardasil (yeast). There was no concomitant medication. On 03-Jan-2007, after receiving the vaccination, the patient fainted. Unspecified medical attention was sought. Subsequently, the patient recovered. Additional information has been requested.


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