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This is VAERS ID 272399

Case Details

VAERS ID: 272399 (history)  
Age: 15.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-02-01
Onset:2007-02-02
   Days after vaccination:1
Submitted: 2007-02-07
   Days after onset:5
Entered: 2007-02-16
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1892AA / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B007AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1065F / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Dizziness, Headache, Hypotension, Somnolence, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypoglycaemia (broad)

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

Write-up: Early in the am of 2/2/2007, patient woke with sudden onset of vomiting, dizziness, and severe headaches. Seen by primary care physician later in the day with noticeable hypotension. Remained in bed over the weekend, sleeping most of the time and taking Motrin for headache.


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