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This is VAERS ID 272320

Case Details

VAERS ID: 272320 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-01-09
Onset:2007-01-09
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:36
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Syncope
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0701USA01412

Write-up: Information has been received from an R.N. concerning a 19 year old female patient who on 09-JAN-2007 was vaccinated IM with a dose of GARDASIL (lot #653978/0955F) and felt dizzy and lightheaded. Medical attention was sought. At the time of the report the patient was recovering. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Follow up information has been received concerning the 20 year old female student who on 09-JAN-2007 at 9:30 a.m. was vaccinated IM in left deltoid with her first dose of GARDASIL, lot #653978/0955P. After the first injection, the patient felt faint. On 06-MAR-2007 at 10:00 a.m. The patient was vaccinated IM in left deltoid with her second dose of GARDASIL, lot #655619/1427P. After the second injection, the patient did faint. She went out approximately 5 minutes, came to and then felt fine. The patient stated she "does this for all injections, even eye drops". She was reported as recovered on 08-MAR-2007. Additional information is not expected.


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