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This is VAERS ID 272503

Case Details

VAERS ID: 272503 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Florida  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:22
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Blood pressure decreased, Dizziness, Pallor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Dehydration (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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure, 01/23/07, 120/8; Blood pressure 01/23/07, 90/50
CDC Split Type: WAES0701USA03883

Write-up: Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of GARDASIL vaccine (lot number not provided). The nurse reported that after the patient received the vaccination she turned pale "within 10 minutes of vaccination". The nurse reported that the patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and followup information has been received from a registered nurse concerning a 14 year old female who had finished menses and had heavey dysmenorrhea on 23-JAN-2007 was vaccinated IM in the left deltoid at 10:20 with her first dose of GARDASIL vaccine (Lot # 653918/0954F). Concomitant therapy included TOPRANIL. On 23-H+JAN_2007, at 10:30 the patient turned pale became dizzy and lightheaded after being vaccinated and her blood pressure fropped to 90/50 blood pressure prior to vaccination was 104/64. She was given fluids and something to eat and the dizziness did not improve. She was sent to the Emergency Room for evaluation. The ER report was normal. At the time of the report her blood pressure stayed under 100. No further informaion is available.

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