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This is VAERS ID 272537

Case Details

VAERS ID: 272537 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:9
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Pallor, Paraesthesia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK; blood pressure, 02/23/07, 110/7 mm/Hg; pulse oximetry, 02/23/07, 98%; total heartbeat count, 02/23/07, 116bpm
CDC Split Type: WAES0701USA04582

Write-up: Information has been received from a physician concerning a female patient who in "the week of 22-JAN-2007" was vaccinated IM with a 0.5 ml dose of HPV VLP vaccine (yeast). After vaccination, the patient fainted. Unspecified medical attention was sought. Subsequently, the patient recovered. No product quality complaint was involved. Additional information has been requested. This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a registered nurse concerning a 15 year old female patient who on 23-FEB-2007, at 3:35PM, (previously reported as approximately 22-JAN-2007) was vaccinated IM, left arm, with a 0.5 ml of GARDASIL (lot # 653735/0688F). That same day, the patient was leaving the office when she complained of dizziness; she was extremely pallor, perspiring and had tingling in both hands and subsequently fainted. The patient''s blood pressure was 110/70 mmHg, pulse 116bpm, and her oxygen saturation was 98%. The patient was given oxygen and she stayed at the office for 45 minutes. Subsequently, the patients symptoms subsided and the patient recovered. No product quality complaint was involved. Additional information is not expected.

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