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This is VAERS ID 272485

Case Details

VAERS ID: 272485 (history)  
Age: 14.0  
Gender: Female  
Location: Michigan  
Vaccinated:2006-12-22
Onset:2006-12-22
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:54
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2141AA / 0 UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Blood pressure normal, Dizziness, Feeling hot, Visual acuity reduced
SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Otitis; Sore throat; Nasal congestion; Runny nose; Penicillin allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: blood pressure, 12/22/06, 98/60, normal
CDC Split Type: WAES0701USA03195

Write-up: Information has been received from a registered nurse concerning a 14 year old female with no fever, otitis (diagnosed on 22-DEC-2006), mild sore throat, congestion, runny nose, amoxicillin and erythromycin allergy who on 22-DEC-2006 was vaccinated with the first dose of GARDASIL (lot # 653938/0954F), IM. Concomitant therapy included the first dose of MENACTRA (lot # U2141AA), IM. On 22-DEC-2006 after the vaccine while at the check out window, the patient stated that she felt hot, felt her vision was fading and felt faint. The registered nurse held her arm and walked with her back to an exam room where she had her lay down and elevated her legs on two pillows for 15 minutes. The patient''s feeling passed. When the patient first returned to the exam room the physician checked her and then checked her when she felt better. After 15 minutes of lying down, the patient then sat up for 5 minutes. Her blood pressure was taken and was normal 98/60. Subsequently, the patient recovered from the events that same day. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 2/14/2007. It was reported that there was no diagnostic work-up performed, the patient was not hospitalized nor was an outpatient and the patient fully recovered before she left the physician''s office. On 21-FEB2007, the patient was vaccinated with the second dose of GARDASIL and had no side effects. Additional information is not expected.


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